Individual provider · Type 1 NPI

Bryan J. Moore

Addiction (Substance Use Disorder) Counselor · Canton, NY

NPI number 1124430871 Active

Practice location

80 State Highway 310, Suite 1
Canton, NY 13617

Call (315) 386-2189 Map

Fax (315) 386-2435

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1124430871

Bryan J. Moore's National Provider Identifier is 1124430871, issued on May 29, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, NY. The record was last updated on May 29, 2014.