Individual provider · Type 1 NPI

Stephanie Moore

Addiction (Substance Use Disorder) Counselor · Williamson, WV

NPI number 1679478739 Active

Practice location

1609 W 3rd Ave
Williamson, WV 25661-3006

Specialties and licenses

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

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

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About NPI 1679478739

Stephanie Moore's National Provider Identifier is 1679478739, issued on Oct 9, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Williamson, WV. The record was last updated on Oct 9, 2026.