Individual provider · Type 1 NPI

Antranette Moore

Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI number 1306206016 Active

Practice location

2626 E 46th St
Indianapolis, IN 46205-2380

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1306206016

Antranette Moore's National Provider Identifier is 1306206016, issued on Feb 24, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 24, 2016.