Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mardie Moore

Individual provider Mental Health Counselor · NPI 1487317640

Mardie Moore is a Mental Health Counselor in Oakland, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

930 66th Ave Apt 208
Oakland, CA 94621-3183
Phone: (510) 828-3737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 101YMO800X (CA)

Record details

NPI number1487317640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2021
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023

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