Individual provider · Type 1 NPI

Brenda Moore, MHC, CASAC, FDLC

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1679946214 Active

Practice location

89-30 161T Street, Sco Children And Family Services
Jamaica, NY 11432

Call (718) 674-7773 Map

Mailing address

19608 99th Ave
Hollis, NY 11423-3301

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26645 (NY)

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

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About NPI 1679946214

Brenda Moore, MHC, CASAC, FDLC's National Provider Identifier is 1679946214, issued on Nov 4, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Jun 21, 2021.