MEDICARE: BRITNEY KATHLEEN MOORE LMFT M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	114353	CA
2	106H00000X	Marriage & Family Therapist	IMF91705	CA

General Provider Information

NPI Number	:	1790166783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITNEY KATHLEEN MOORE LMFT M.A.

Provider Business Mailing Address
First Line	:	4343 MACARTHUR BLVD # 1146
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2021
Country	:	US
Telephone Number	:	909-278-8855
Fax Number	:

Provider Business Practice Location Address
First Line	:	2180 GEORGETOWN DR
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92881-4451
Country	:	US
Telephone Number	:	909-809-7626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2015
Last Update Date	:	02/12/2026

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