Individual provider · Type 1 NPI
Kimberly Lathe-Moody
Addiction (Substance Use Disorder) Counselor · Pittston, ME
NPI number
1265981047
Active
Practice location
582 Nash Rd
Pittston, ME 04345-5735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CAC5932 (ME) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1265981047
Kimberly Lathe-Moody's National Provider Identifier is 1265981047, issued on Sep 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pittston, ME. The record was last updated on Sep 22, 2016.