Individual provider · Type 1 NPI

Shanice Kaitlyn Jaye Moore

Addiction (Substance Use Disorder) Counselor · Crescent City, CA

NPI number 1043845092 Active

Practice location

2298 Norris Ave
Crescent City, CA 95531-9344

Call (707) 464-2919 Map

Mailing address

1600 Weeot Way
Arcata, CA 95521-4734

Other practice locations

1675 Northcrest Dr, Crescent City, CA 95531-8928 · (707) 464-2750
1600 Weeot Way, Arcata, CA 95521-4734 · (707) 825-5060

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	15527-RAC (CA)

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

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About NPI 1043845092

Shanice Kaitlyn Jaye Moore's National Provider Identifier is 1043845092, issued on Mar 10, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Crescent City, CA. The record was last updated on Mar 6, 2024.