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KELLY MOUA
NPI 1740648625
Counselor - Mental Health in Stockton, CA

Active since February 05, 2016
1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-2385 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Moua NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MOUA (NPI 1740648625) is an individual mental health provider in Stockton, California and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1740648625
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MOUA
Location Address1414 N CALIFORNIA STStockton, CA 95202-1515
Mailing Address1414 N California StStockton, CA 95202-1515 · (209) 468-2385
Phone(209) 468-2385
Sole ProprietorYes
Enumeration DateFebruary 5, 2016
✔ NPI 1740648625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1414 N CALIFORNIA ST, Stockton, CA 95202
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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.

MARITZA JUACHE
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
JOSEPH MICHAEL JACKSON POINTON
Case Manager/Care Coordinator
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-1000
TRISTAN PATRICK SPAULDING
Community Health Worker
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
KEAR HENG NGAM
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
MR. ADAM WILLIAM DIESTLER MFTI
Marriage & Family Therapist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
J WILLIAM WATKINS LPCC
Counselor (Professional)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
ADRIENNE PLEASANTS
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7385
MR. JOSEPH KOZINA
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-4226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Moua's NPI number?

The NPI number for Kelly Moua is 1740648625. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Kelly Moua located?

Kelly Moua practices at 1414 N California St, Stockton, CA 95202. The listed phone number is (209) 468-2385.

What is Kelly Moua's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Moua was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.