Doctor Name: | MRS. LISSETTE N/A MOORE-GUERRA |
NPI Number: | 1043504947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 660 S Fair Oaks Vhc At Sunnyvale Sunnyvale, CA - 94086 |
Business Phone Number: | 4088857200 |
Business Fax Number: | |
Mailing Address: | 660 S Fair Oaks, Vhc At Sunnyvale SUNNYVALE |
State: | CA |
Postal Code: | 94086 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/08/2011 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |