Search › California › 164X00000X
Jacob Moore
NPI 1346008844 · on the registry since 2024
Practice
- Address
- 10821 Fair Oaks Blvd
Fair Oaks, CA 95628 - Phone
- (916) 903-7028
- Organisation at this address
- Akua Behavioral Health, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-08
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