| Louise Moore | |
|
7 4th St Ste 13 Petaluma CA 94952-3072 | |
| (707) 774-1225 | |
| Not Available |
| Full Name | Louise Moore |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7 4th St Ste 13, Petaluma, California |
| Authorized Official Name and Position | Louise Moore (MFT) |
| Authorized Official Contact | 7077741225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louise Moore 7 4th St Ste 13 Petaluma CA 94952-3072 Ph: (707) 774-1225 | Louise Moore 7 4th St Ste 13 Petaluma CA 94952-3072 Ph: (707) 774-1225 |
| NPI Number | 1609425065 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609425065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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