MS. LORRAINE DENISE MOORE
NPI 1730324997
Counselor - Mental Health in Ukiah, CA
Active since December 02, 2008
About Ms. Lorraine Denise Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LORRAINE DENISE MOORE (NPI 1730324997) is an individual mental health provider in Ukiah, California and active in the NPI registry since December 2008. She maintains a secondary practice location in Marysville.
NPPES Registry Identity
NPI1730324997
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LORRAINE DENISE MOORE
Location Address169 MASON ST STE 300Ukiah, CA 95482-4483
Mailing Address510 Marlene St Apt 8Ukiah, CA 95482-7432 · (707) 463-3300 · Fax (707) 463-3318
Phone(707) 463-3300
Fax(707) 463-3318
Sole ProprietorYes
Enumeration DateDecember 2, 2008
Last NPPES UpdateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1730324997 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
169 MASON ST STE 300, Ukiah, CA 95482
Secondary Practice Location 1
Location 1320 H StreetMarysville, CA 95901 · Phone (530) 742-7747 · Fax (530) 742-7642
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Marriage & Family Therapist
169 MASON ST STE 300
UKIAH, CA 95482
UKIAH, CA 95482
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730324997, enumerated as an "individual" on December 02, 2008.
The provider is located at 169 MASON ST STE 300 UKIAH, CA 95482 and the phone number is (707) 463-3300.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.