Individual provider · Type 1 NPI

Krista Kay Moore, SAC-IT

Addiction (Substance Use Disorder) Counselor · Oshkosh, WI

NPI number 1023627767 Active

Practice location

505 S Washburn St
Oshkosh, WI 54904-7949

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19216-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023627767

Krista Kay Moore, SAC-IT's National Provider Identifier is 1023627767, issued on Jul 29, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oshkosh, WI. The record was last updated on Jul 29, 2020.