ANNA-MAE EVANGELINE CONRAD MOORE MSW
NPI 1104551803
Counselor - Mental Health in Yucca Valley, CA
Active since July 18, 2022
58923 BUSINESS CENTER DR STE A-E, YUCCA VALLEY, CA 92284(760) 365-7209 Get Directions Write a Review
About Anna-mae Evangeline Conrad Moore Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNA-MAE EVANGELINE CONRAD MOORE MSW (NPI 1104551803) is an individual mental health provider in Yucca Valley, California, licensed in California (ASW108530) and active in the NPI registry since July 2022.
NPPES Registry Identity
NPI1104551803
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNA-MAE EVANGELINE CONRAD MOORECredential: MSW
Location Address58923 BUSINESS CENTER DR STE A-EYucca Valley, CA 92284-7311
Mailing Address58923 Business Center Dr Ste A-eYucca Valley, CA 92284-7311
Phone(760) 365-7209
Sole ProprietorNo
Enumeration DateJuly 18, 2022
Last NPPES UpdateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1104551803 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW108530
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License ASW108530 (CA)
58923 BUSINESS CENTER DR STE A-E, Yucca Valley, CA 92284
Other Names 1
Former Name (1)Anna Mae Evangeline Conrad
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Marriage & Family Therapist
58923 BUSINESS CENTER DR STE A-E
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284
Community Health Worker
58923 BUSINESS CENTER DR STE A-E
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284
Community/Behavioral Health
58923 BUSINESS CENTER DR STE A-E
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284
Day Training/Habilitation Specialist
58923 BUSINESS CENTER DR STE A-E
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104551803, enumerated as an "individual" on July 18, 2022.
The provider is located at 58923 BUSINESS CENTER DR STE A-E YUCCA VALLEY, CA 92284 and the phone number is (760) 365-7209.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
