Individual provider · Type 1 NPI

Michael Thomas Moore

Professional Counselor · Washington, DC

NPI number 1225659519 Active

Practice location

920 Belview St. SE
Washington, DC 20032

Call (202) 562-4939 Map

Mailing address

15616 Gilpin Mews Ln
Brandywine, MD 20613-6277

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCACI1135 (DC)
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1225659519

Michael Thomas Moore's National Provider Identifier is 1225659519, issued on Apr 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Washington, DC. The record was last updated on Apr 28, 2020.