Diana Moore, MALMFTLPCC
Diana Moore, MALMFTLPCC is a Marriage & Family Therapist in San Mateo, California. Practices as a sole proprietor. Licensed in California and Missouri.
- Licensed in
- CA, MO
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
1510 Fashion Island Blvd Ste 110San Mateo, CA 94404-1596
Phone: (650) 906-3978
Fax: (650) 570-4283
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence MFC 50214 (CA) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 2021012918 (MO) |
| Professional Counselor | Taxonomy 101YP2500X · Licence LPC 85 (CA) |
Record details
| NPI number | 1003195066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MALMFTLPCC |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2011 |
| Last updated in NPPES | April 23, 2024 |
| Certification date | April 23, 2024 |
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