Individual provider · Type 1 NPI

Janice Renee Moore

Addiction (Substance Use Disorder) Counselor · Pueblo, CO

NPI number 1184130296 Active

Practice location

1304 Chinook Ln
Pueblo, CO 81001-1851

Call (719) 545-2746 Map

Fax (719) 584-0110

Mailing address

41 Montebello Rd Ste 200
Pueblo, CO 81001-1366

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACA.0007115 (CO)

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

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About NPI 1184130296

Janice Renee Moore's National Provider Identifier is 1184130296, issued on Dec 27, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pueblo, CO. The record was last updated on Jan 8, 2018.