Virgil Dean Moorehead JR. M.A.

NPI 1790093912 - Counselor - 101YM0800X

NPI Details
NPI 1790093912
Gender Male
Enumeration Date 09/22/2010
Last Updated 09/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4175 LAKESIDE DR
RICHMOND CA, 94806-5774, US
Phone (510) 262-6551
Fax
Business Location
4646 CREEK ROAD
SACRAMENTO CA, 95841, US
Phone (530) 219-6931
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Virgil Dean Moorehead JR. M.A. NPI is 1790093912, taxonomy code is 101YM0800X Virgil Dean Moorehead JR. M.A. physically located at 4175 Lakeside Dr, Richmond CA, 94806-5774. NPI Number Virgil Dean Moorehead JR. M.A. has the Individual type.

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1790093912 NPI number is provided on an as is basis without warranty of any kind. 1790093912 is maintained by the National Plan & Provider Enumeration System. The contents of Virgil Dean Moorehead JR. M.A. are for informational purposes only.