Individual provider · Type 1 NPI

Susan I. Moore, BA, CAC-AD

Addiction (Substance Use Disorder) Counselor · Glen Burnie, MD

NPI number 1679798417 Active

Practice location

122 Langley Rd N Ste A
Glen Burnie, MD 21060-6539

Call (410) 222-6725 Map

Fax (410) 222-6748

Mailing address

1294 Breckenridge Cir
Riva, MD 21140-1341

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACO239 (MD)

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

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About NPI 1679798417

Susan I. Moore, BA, CAC-AD's National Provider Identifier is 1679798417, issued on Apr 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 8, 2007.