Individual provider · Type 1 NPI
Melissa Raenae Moore, CADC
Addiction (Substance Use Disorder) Counselor · London, KY
NPI number
1467231902
Active
Practice location
1501 S Main St Ste H
London, KY 40741-2091
Mailing address
4 Gilliam St
Corbin, KY 40701-1520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 275318 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1467231902
Melissa Raenae Moore, CADC's National Provider Identifier is 1467231902, issued on Sep 25, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in London, KY. The record was last updated on Sep 25, 2023.