Individual provider · Type 1 NPI

Courtney Diane Moore, RADT

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1134749757 Active

Practice location

835 25th St
San Diego, CA 92102-2738

Call (619) 239-9691 Map

Mailing address

PO Box 120165
San Diego, CA 92112

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 1134749757

Courtney Diane Moore, RADT's National Provider Identifier is 1134749757, issued on Apr 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Apr 23, 2020.