Moore, Irene D

Moore, Irene D is an individual health care provider with primary practice located at 4175 Lakeside Dr , Richmond CA 94806-5774. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Irene D can be contacted via phone (510) 262-6551.

Contact Information

Primary practice address
4175 Lakeside Dr Richmond CA 94806-5774
Phone: (510) 262-6551
Fax: (510) 222-7085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 68350 MFTI California

Profile Details

NPI number 1710249594
LBN Legal business name Moore, Irene D
Credentials MFTI
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Mar 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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