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

Samuel Evan Moore, MS

Individual provider Marriage & Family Therapist · NPI 1447600085

Samuel Evan Moore, MS is a Marriage & Family Therapist in Yucaipa, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

10776 Fremont St
Yucaipa, CA 92399-9630
Phone: (909) 797-0114
Fax: (909) 790-2148
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Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT119605 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence IMF91033 (CA)

Record details

NPI number1447600085
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedJune 14, 2016
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address10776 Fremont St, Yucaipa, CA 92399-9630

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