SAMUEL EVAN MOORE

YUCAIPA, CA
NPI1447600085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT119605)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  IMF91033)
Enumeration Date2016-06-14
Last Update Date2021-08-04
Business Address
SAMUEL EVAN MOORE M.S.
10776 FREMONT ST
YUCAIPA, CA 92399-9630
Phone number: 909-797-0114
Mailing Address
SAMUEL EVAN MOORE M.S.
10776 FREMONT ST
YUCAIPA, CA 92399-9630
Phone number: 909-797-0114