Moore, Laurie Alison

Moore, Laurie Alison is an sole proprietor health care provider with primary practice located at 65 Lions Field Dr , Santa Cruz CA 95065-9736. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Moore, Laurie Alison can be contacted via phone (831) 477-7007.

Contact Information

Primary practice address
65 Lions Field Dr Santa Cruz CA 95065-9736
Fax: (832) 575-7007
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 36950 California

Profile Details

NPI number 1386903755
LBN Legal business name Moore, Laurie Alison
Credentials M.A., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2012
Last updated May 4th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386903755 NPPES
California Other MFT369500 BLUE SHIELD

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