Individual provider · Type 1 NPI

Kelly Moore, CADC

Counselor · Fort Dodge, IA

NPI number 1679911002 Active

Practice location

726 S 17th St
Fort Dodge, IA 50501-5344

Call (800) 830-7009 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.

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About NPI 1679911002

Kelly Moore, CADC's National Provider Identifier is 1679911002, issued on Jun 7, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Dodge, IA. The record was last updated on Jun 7, 2013.