Individual provider · Type 1 NPI

Charles E. Moore, RASI

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1114130713 Active

Practice location

820 23rd St
Richmond, CA 94804-1338

Call (510) 229-5000 Map

Fax (510) 235-3112

Mailing address

398 S 34th St
Richmond, CA 94804-3120

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-M0501060833 (CA)

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

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About NPI 1114130713

Charles E. Moore, RASI's National Provider Identifier is 1114130713, issued on May 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Feb 6, 2008.