Individual
MS. ADRIANNE M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3679 CRENSHAW BLVD, SUITE 108, LOS ANGELES, CA 90016-4849
(661) 713-6698
(323) 643-4536
Mailing address
4028 DON DIABLO DR, LOS ANGELES, CA 90008-4304
(323) 497-8150
(323) 643-4536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
190449AN
CA
106H00000X
Marriage & Family Therapist
Primary
52160
CA
Other
Enumeration date
05/24/2007
Last updated
06/22/2015
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