Individual provider · Type 1 NPI

Elizabeth Dianne Moses

Addiction (Substance Use Disorder) Counselor · Clearlake, CA

NPI number 1639907298 Active

Practice location

7000B S Center Dr
Clearlake, CA 95422-8131

Call (707) 994-7090 Map

Fax (707) 994-7164

Mailing address

PO Box 1024
Lucerne, CA 95458-1024

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18084 (CA)

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

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About NPI 1639907298

Elizabeth Dianne Moses's National Provider Identifier is 1639907298, issued on Jul 24, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Jul 24, 2024.