person
Ms. La Tonya Crystal-kelly Moore, MHRS
Mental Health Counselor in Oakland, California
NPI 1619179413

La Tonya Crystal-kelly Moore is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. La Tonya Crystal-kelly Moore practices in Oakland, CA and has the professional credentials of MHRS. The NPI Number for La Tonya Crystal-kelly Moore is 1619179413 and holds a License No. (California).

The current practice location address for La Tonya Crystal-kelly Moore is 421 Fairmount Ave, Oakland, CA and can be reached out via phone at 510-839-3769.

Location: 421 Fairmount Ave, Oakland, CA, 94610-4038
person
Provider Profile Details
NPI Number
1619179413
Provider Name
La Tonya Crystal-kelly Moore
Credential
MHRS
Provider Entity Type
Individual
Gender
Female
Address
421 Fairmount Ave, Oakland, CA, 94610-4038
Phone Number
510-839-3769
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
421 Fairmount Ave
City
State
Zip
94611-5534
Phone Number
510-839-3769
Fax Number
person
Provider Business Mailing Address Details
Address
421 Fairmount Ave
City
State
Zip
94611-5534
Phone Number
510-839-3769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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