Individual provider · Type 1 NPI

Dylan Marcell Moore

Addiction (Substance Use Disorder) Counselor · Reseda, CA

NPI number 1053028191 Active

Practice location

7101 Baird Ave
Reseda, CA 91335-4150

Call (818) 342-5897 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Health Educator 174H00000XNone listed

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

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About NPI 1053028191

Dylan Marcell Moore's National Provider Identifier is 1053028191, issued on Oct 28, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reseda, CA. The record was last updated on Jun 13, 2025.