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Gary Thomas Moore
Mental Health Counselor in Davis, California
NPI 1053533455

Gary Thomas Moore is a Mental Health Counselor based in Davis, CA and is specialized in Mental Health. Gary Thomas Moore practices in Davis, CA. The NPI Number for Gary Thomas Moore is 1053533455 and holds a License No. (California).

The current practice location address for Gary Thomas Moore is 212 I St, Davis, CA and can be reached out via phone at 530-601-5959.

Location: 212 I St, Davis, CA, 95616-4213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053533455
Provider Name
Gary Thomas Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
212 I St, Davis, CA, 95616-4213
Phone Number
530-601-5959
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
212 I St
City
Davis
State
California
Zip
95616-4213
Phone Number
530-601-5959
Fax Number
person
Provider Business Mailing Address Details
Address
212 I St
City
Davis
State
California
Zip
95616-4213
Phone Number
530-601-5959
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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