Denise Moody
Counselor in Oakland, CA. Individual provider (NPI-1).
NPI number1760833859
StatusActive
Last updated in NPPESJun 29, 2016
Details
- NPI
- 1760833859
- Entity type
- Individual (NPI-1)
- Name
- Denise Moody
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2016
- Last updated
- Jun 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
629 Oakland AveOakland, CA 94611-4567
Phone 510-395-0507
Mailing address
629 Oakland AveOakland, CA 94611-4567
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