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1619623964
AMANDA JANE MOORE
LA MESA, CA
NPI
1619623964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 11201)
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
AMANDA JANE MOORE LPCC
4700 SPRING ST STE 203
LA MESA, CA 91942-0273
Phone number: 619-549-0329
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Mailing Address
AMANDA JANE MOORE LPCC
PO BOX 2763
SPRING VALLEY, CA 91979-2763
Phone number: 619-634-7537
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