Individual
BREANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
201 N BROADWAY STE C218, PORTLAND, TN 37148-1111
(951) 532-6008
Mailing address
201 N BROADWAY STE C218, PORTLAND, TN 37148-1111
(951) 532-6008
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1934
TN
106H00000X
Marriage & Family Therapist
IMF95818
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT109213
CA
Other
Enumeration date
11/09/2016
Last updated
11/05/2025
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