Individual provider · Type 1 NPI

Michael Dewayne Moore

Addiction (Substance Use Disorder) Counselor · Lancaster, CA

NPI number 1396334371 Active

Practice location

44447 10th St W
Lancaster, CA 93534-3324

Mailing address

8508 W Avenue C
Lancaster, CA 93536-9415

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 1396334371

Michael Dewayne Moore's National Provider Identifier is 1396334371, issued on Jan 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on Jan 13, 2021.