Most Relevant Information
Provider Data
| NPI Number: | 1003684622 |
| Provider Name: | ZACHARY MOELLER ASW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2023 |
| Last Updated: | 09/12/2024 |
Provider Practice Location
995 GATEWAY CENTER WAY STE 300
SAN DIEGO
CA
921024550
Practice Location Phone/Fax
| Phone: | 6193982156 |
| Fax: | 6193982168 |
Provider Mailing Location
995 GATEWAY CENTER WAY STE 300
SAN DIEGO
CA
921024550
Provider Mailing Phone/Fax
| Phone: | 6193982156 |
| Fax: | 6193982168 |