Individual provider · Type 1 NPI

Brian Moore

Addiction (Substance Use Disorder) Counselor · Lemon Grove, CA

NPI number 1366650673 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Call (619) 465-0733 Map

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 1366650673

Brian Moore's National Provider Identifier is 1366650673, issued on May 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lemon Grove, CA. The record was last updated on Jul 8, 2007.