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Kevin Patrick Moody
Marriage & Family Therapist in Campbell, California
NPI 1124543970

Kevin Patrick Moody is a Marriage & Family Therapist based in Campbell, CA. Kevin Patrick Moody practices in Campbell, CA. The NPI Number for Kevin Patrick Moody is 1124543970 and holds a License No. (California).

The current practice location address for Kevin Patrick Moody is 46 N 2Nd St, Campbell, CA and can be reached out via phone at 408-345-5572.

Location: 46 N 2Nd St, Campbell, CA, 95008-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124543970
Provider Name
Kevin Patrick Moody
Credential
Provider Entity Type
Individual
Gender
Male
Address
46 N 2Nd St, Campbell, CA, 95008-2026
Phone Number
408-345-5572
Fax Number
Provider Enumeration Date
08/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171M00000X 05 CA
institution
Provider Business Practice Location Address Details
Address
46 N 2Nd St
City
Campbell
State
California
Zip
95008
Phone Number
408-345-5572
Fax Number
person
Provider Business Mailing Address Details
Address
46 N 2Nd St
City
Campbell
State
California
Zip
95008
Phone Number
408-345-5572
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
AMFT118244 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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