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
Phone: (831) 477-7007
Fax: (832) 575-7007
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386903755 | NPPES |
| California | Other | MFT369500 | BLUE SHIELD |
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