Individual provider · Type 1 NPI

Dion Ray Moore

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1336709054 Active

Practice location

1601 2nd St Ste 104
San Rafael, CA 94901-2701

Call (415) 454-9444 Map

Fax (415) 454-9444

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 1336709054

Dion Ray Moore's National Provider Identifier is 1336709054, issued on Jun 14, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Jun 14, 2019.