person
Irene D Moore, MFTI
Mental Health Counselor in Richmond, California
NPI 1710249594

Irene D Moore is a Mental Health Counselor based in Richmond, CA and is specialized in Mental Health. Irene D Moore practices in Richmond, CA and has the professional credentials of MFTI. The NPI Number for Irene D Moore is 1710249594 and holds a License No. 68350 MFTI (California).

The current practice location address for Irene D Moore is 4175 Lakeside Dr, Richmond, CA and can be reached out via phone at 510-262-6551 and via fax at 510-222-7085.

Location: 4175 Lakeside Dr, Richmond, CA, 94806-5774
person
Provider Profile Details
NPI Number
1710249594
Provider Name
Irene D Moore
Credential
MFTI
Provider Entity Type
Individual
Gender
Female
Address
4175 Lakeside Dr, Richmond, CA, 94806-5774
Phone Number
510-262-6551
Fax Number
510-222-7085
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4175 Lakeside Dr
City
State
Zip
94806-5774
Phone Number
510-262-6551
Fax Number
510-222-7085
person
Provider Business Mailing Address Details
Address
4175 Lakeside Dr
City
State
Zip
94806-5774
Phone Number
510-262-6551
Fax Number
510-222-7085
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
68350 MFTI (California)
Definition
Definition to come...
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