Individual provider · Type 1 NPI

Robert Moore

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1407101686 Active

Practice location

503 S Pershing Ave
Stockton, CA 95203-3236

Call (209) 810-8564 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 1407101686

Robert Moore's National Provider Identifier is 1407101686, issued on Jul 13, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 13, 2012.