Individual provider · Type 1 NPI
Michael T. Moore, CASAC-T
Addiction (Substance Use Disorder) Counselor · Bronx, NY
NPI number
1104615970
Active
Practice location
830 Forest Ave Rm 119
Bronx, NY 10456-7802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104615970
Michael T. Moore, CASAC-T's National Provider Identifier is 1104615970, issued on May 6, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on May 6, 2025.