Individual provider · Type 1 NPI
Estefani Moore
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1205305885
Active
Practice location
2803 Professional Dr
Santa Rosa, CA 95403-7776
Mailing address
2112 Citrine Way
Santa Rosa, CA 95404-5660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Behavior Technician | 106S00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205305885
Estefani Moore's National Provider Identifier is 1205305885, issued on Nov 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 30, 2025.