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Ms. Amanda Moore
Mental Health Counselor in Santa Rosa, California
NPI 1194196139

Amanda Moore is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Amanda Moore practices in Santa Rosa, CA. The NPI Number for Amanda Moore is 1194196139 and holds a License No. (California).

The current practice location address for Amanda Moore is 634 Pressley St, Santa Rosa, CA and can be reached out via phone at 707-573-6955.

Location: 634 Pressley St, Santa Rosa, CA, 95401-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194196139
Provider Name
Amanda Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
634 Pressley St, Santa Rosa, CA, 95401-4445
Phone Number
707-573-6955
Fax Number
Provider Enumeration Date
10/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1954 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
634 Pressley St
City
Santa Rosa
State
California
Zip
95404-5526
Phone Number
707-573-6955
Fax Number
person
Provider Business Mailing Address Details
Address
634 Pressley St
City
Santa Rosa
State
California
Zip
95404-5526
Phone Number
707-573-6955
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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