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

Tiffany Alexandria Alonzo Moore, AMFT

Individual provider Counselor · NPI 1720707193

Tiffany Alexandria Alonzo Moore, AMFT is a Counselor in Stockton, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4545 Georgetown Pl Ste A3
Stockton, CA 95207-6228
Phone: (209) 429-0377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 155166 (CA)
Counselor Taxonomy 101Y00000X · Licence AMFT132956 (CA)

Record details

NPI number1720707193
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT
Sole proprietorNo
NPI enumeratedAugust 26, 2022
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

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