Individual
ANDREA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7740 W MANCHESTER AVE STE 109, PLAYA DEL REY, CA 90293-8449
(323) 366-5789
Mailing address
1306 ELECTRIC AVE, VENICE, CA 90291-3747
(651) 500-5008
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
150349
CA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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