Individual provider · Type 1 NPI
Nedward B;aine Moore Iii, BA
Counselor · Portage, PA
NPI number
1508160771
Active
Practice location
220 Plane Rd
Portage, PA 15946-6704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1508160771
Nedward B;aine Moore Iii, BA's National Provider Identifier is 1508160771, issued on Jan 3, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portage, PA. The record was last updated on Jan 3, 2011.