Individual provider · Type 1 NPI

Maria A. Moore, ICS

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1174956635 Active

Practice location

2319 W Capitol Dr
Milwaukee, WI 53206-1919

Call (414) 442-2033 Map

Fax (414) 442-2167

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15585-132 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15431-134 (WI)

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

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About NPI 1174956635

Maria A. Moore, ICS's National Provider Identifier is 1174956635, issued on Aug 19, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 17, 2017.