Most Relevant Information
Provider Data
| NPI Number: | 1003195066 |
| Provider Name: | DIANA MOORE MA LMFT LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC 50214 |
Most Important Dates
| Enumeration Date: | 08/09/2011 |
| Last Updated: | 04/23/2024 |
Provider Practice Location
1510 FASHION ISLAND BLVD
SUITE 110
SAN MATEO
CA
944041596
Practice Location Phone/Fax
| Phone: | 6509063978 |
| Fax: | 6505704283 |
Provider Mailing Location
1510 FASHION ISLAND BLVD
SUITE 110
SAN MATEO
CA
944041596
Provider Mailing Phone/Fax
| Phone: | 6509063978 |
| Fax: | 6505704283 |