| Moxie Licensed Clinical Social Worker Corp | |
|
1219 Coombs St Ste D Napa CA 94559-2505 | |
| (707) 690-0745 | |
| Not Available |
| Full Name | Moxie Licensed Clinical Social Worker Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1219 Coombs St Ste D, Napa, California |
| Authorized Official Name and Position | Jennifer Inman Hampton (PRESIDENT/OWNER) |
| Authorized Official Contact | 7076900745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moxie Licensed Clinical Social Worker Corp 1219 Coombs St Ste D Napa CA 94559-2505 Ph: (707) 690-0745 | Moxie Licensed Clinical Social Worker Corp 1219 Coombs St Ste D Napa CA 94559-2505 Ph: (707) 690-0745 |
| NPI Number | 1497424196 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497424196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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