Search › California › 103TC0700X
Jenna Moon
NPI 1336854736 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1500 Petaluma Blvd S
Petaluma, CA 94952 - Phone
- (707) 765-8488
- Organisation at this address
- Petaluma People Services Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 73
Additional practice sites
- 435 Petaluma Ave Ste 142, Sebastopol, CA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California