person
Jill Moody, LPT
Counselor in San Jose, California
NPI 1417909540

Jill Moody is a Counselor based in San Jose, CA. Jill Moody practices in San Jose, CA and has the professional credentials of LPT. The NPI Number for Jill Moody is 1417909540 and holds a License No. PT24205 (California).

The current practice location address for Jill Moody is 1555 Parkmoor Ave, San Jose, CA and can be reached out via phone at 408-282-0402.

Location: 1555 Parkmoor Ave, San Jose, CA, 95128-2407
person
Provider Profile Details
NPI Number
1417909540
Provider Name
Jill Moody
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
1555 Parkmoor Ave, San Jose, CA, 95128-2407
Phone Number
408-282-0402
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1555 Parkmoor Ave
City
State
Zip
95128-2407
Phone Number
408-282-0402
Fax Number
person
Provider Business Mailing Address Details
Address
1555 Parkmoor Ave
City
State
Zip
95128-2407
Phone Number
408-282-0402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
PT24205 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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