Individual provider · Type 1 NPI

Donald R. Moore, LLMSW CAAC

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1497910079 Active

Practice location

5470 Chene St
Detroit, MI 48211-2746

Mailing address

3393 Oakman Blvd
Detroit, MI 48238-4200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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About NPI 1497910079

Donald R. Moore, LLMSW CAAC's National Provider Identifier is 1497910079, issued on Jul 23, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on May 3, 2010.