Mr. Dominic J Moore - Indio, CA

Mr. Dominic J Moore

Peer Specialist in Indio, California

NPI 1912669847

Dominic J Moore is a Peer Specialist based in Indio, CA. Dominic J Moore practices in Indio, CA. The NPI Number for Dominic J Moore is 1912669847 and holds a License No. GKJBRVZWLCYMONP (California).

The current practice location address for Dominic J Moore is 44199 Monroe St, Indio, CA and can be reached out via phone at 760-863-8341.

Location: 44199 Monroe St, Indio, CA, 92201-3096

NPI Number

1912669847

Provider Name

Dominic J Moore

Credential

Provider Entity Type

Individual

Gender

Male

Address

44199 Monroe St, Indio, CA, 92201-3096

Phone Number

760-863-8341

Fax Number

Provider Enumeration Date

10/07/2021

Last Update Date

03/10/2024

Address

44199 Monroe St

City

Indio

State

California

Zip

92201-3096

Phone Number

760-863-8341

Fax Number

Address

44199 Monroe St

City

Indio

State

California

Zip

92201-3096

Phone Number

760-863-8341

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

GKJBRVZWLCYMONP (California)

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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44199 Monroe St,
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