Diana Moore, MA LMFT LPCC
NPI #1003195066 in San Mateo, California
Provider Information
- NPI Number
- 1003195066
- Entity Type
- Individual
- Name
- Diana Moore, MA LMFT LPCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA LMFT LPCC
- Enumeration Date
- Aug 9, 2011
- Last Updated
- Apr 23, 2024
Practice Location
- Address
- 1510 FASHION ISLAND BLVD
- Address 2
- SUITE 110
- City
- San Mateo
- State
- California
- ZIP Code
- 94404-1596
- Phone
- (650) 906-3978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Counselor - Professional — Professional |
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