Individual provider · Type 1 NPI

Rose Amanda Moore, RADT

Addiction (Substance Use Disorder) Counselor · Inglewood, CA

NPI number 1205390069 Active

Practice location

2504 W Manchester Blvd
Inglewood, CA 90305-2520

Call (323) 751-3805 Map

Fax (323) 750-5885

Mailing address

26648 9th St Apt 245
Highland, CA 92346-5553

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 1205390069

Rose Amanda Moore, RADT's National Provider Identifier is 1205390069, issued on Jan 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Jan 25, 2019.