person
Amanda Jane Moore, LPCC
Mental Health Counselor in La Mesa, California
NPI 1619623964

Amanda Jane Moore is a Mental Health Counselor based in Spring Valley, CA and is specialized in Mental Health. Amanda Jane Moore practices in La Mesa, CA and has the professional credentials of LPCC. The NPI Number for Amanda Jane Moore is 1619623964 and holds a License No. 11201 (California).

The current practice location address for Amanda Jane Moore is 4700 Spring St Ste 203, La Mesa, CA and can be reached out via phone at 619-549-0329.

Location: 4700 Spring St Ste 203, La Mesa, CA, 91979-2763
person
Provider Profile Details
NPI Number
1619623964
Provider Name
Amanda Jane Moore
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
4700 Spring St Ste 203, La Mesa, CA, 91979-2763
Phone Number
619-549-0329
Fax Number
Provider Enumeration Date
02/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 Spring St Ste 203
City
State
Zip
91942-0273
Phone Number
619-549-0329
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Spring St Ste 203
City
State
Zip
91942-0273
Phone Number
619-549-0329
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
11201 (California)
Definition
Definition to come...
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