Malcolm Xavier Moore

NPI #1124591110 in Nevada City, California

Provider Information

NPI Number: 1124591110
Entity Type: Individual
Name: Malcolm Xavier Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 2, 2019
Last Updated: May 6, 2019

Practice Location

Address: 24077 STATE HIGHWAY 49
City: Nevada City
State: California
ZIP Code: 95959-8519
Phone: (530) 265-9057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X

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