Individual provider · Type 1 NPI

Kevin Alan Moe

Addiction (Substance Use Disorder) Counselor · Santa Monica, CA

NPI number 1336933639 Active

Practice location

907 Pico Blvd
Santa Monica, CA 90405-1326

Mailing address

3863 Prospect Ave Apt 1
Culver City, CA 90232-3823

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 1336933639

Kevin Alan Moe's National Provider Identifier is 1336933639, issued on Apr 9, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 9, 2025.