Individual provider · Type 1 NPI

Dustin Moore, LSAA

Addiction (Substance Use Disorder) Counselor · Farmington, NM

NPI number 1639674823 Active

Practice location

511 E 20th St
Farmington, NM 87401-2105

Call (505) 564-3733 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCSA0195451 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639674823

Dustin Moore, LSAA's National Provider Identifier is 1639674823, issued on Mar 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmington, NM. The record was last updated on Mar 28, 2018.