Provider Information for 1790166783
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BRITNEY KATHLEEN MOORE LMFT M.A.
Sex: Female
NPI: 1790166783
Last Updated: 2024-02-13
Certification Date: 2024-02-13
Certification Date: 2024-02-13
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1790166783 | ||||||||||||
| Enumeration Date | 2015-06-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4343 MACARTHUR BLVD # 1146 NEWPORT BEACH, CA 92660-2021 United States Phone: 909-278-8855 | Fax: | ||||||||||||
| Primary Practice Address | 2180 GEORGETOWN DR CORONA, CA 92881-4451 United States Phone: 909-809-7626 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 24885 WHITEWOOD RD 24885 WHITEWOOD RD 555 TECHNOLOGY CT STE 300 | ||||||||||||
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