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Mr. Donald Robert Moore
Mental Health Counselor in San Rafael, California
NPI 1124182969

Donald Robert Moore is a Mental Health Counselor based in Petaluma, CA and is specialized in Mental Health. Donald Robert Moore practices in San Rafael, CA. The NPI Number for Donald Robert Moore is 1124182969 and holds a License No. (California).

The current practice location address for Donald Robert Moore is 914 Mission Ave, San Rafael, CA and can be reached out via phone at 415-457-1925.

Location: 914 Mission Ave, San Rafael, CA, 94954-5739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124182969
Provider Name
Donald Robert Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
914 Mission Ave, San Rafael, CA, 94954-5739
Phone Number
415-457-1925
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
914 Mission Ave
City
San Rafael
State
California
Zip
94901-6106
Phone Number
415-457-1925
Fax Number
person
Provider Business Mailing Address Details
Address
914 Mission Ave
City
San Rafael
State
California
Zip
94901-6106
Phone Number
415-457-1925
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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