Individual provider · Type 1 NPI

Bryce Hart Moulton, 14303-RAC

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

NPI number 1144820382 Active

Practice location

132 W 10th St
San Pedro, CA 90731-3702

Call (310) 514-4940 Map

Mailing address

1003 S Beacon St
San Pedro, CA 90731-4324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14303-RAC (CA)

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

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About NPI 1144820382

Bryce Hart Moulton, 14303-RAC's National Provider Identifier is 1144820382, issued on Oct 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Oct 27, 2020.