Moore, Carolyn Jo

Moore, Carolyn Jo is an sole proprietor health care provider with primary practice located at 2525 Maine Ave , Richmond CA 94804-2827. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Moore, Carolyn Jo can be contacted via phone (510) 231-3945.

Contact Information

Primary practice address
2525 Maine Ave Richmond CA 94804-2827
Phone: (510) 231-3945
Fax: (510) 234-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1700934163
LBN Legal business name Moore, Carolyn Jo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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