Individual provider · Type 1 NPI

Shane M. Moore, MPSS-DSNBAR

Peer Specialist · Auburn, CA

NPI number 1689353427 Active

Practice location

12183 Locksley Ln Ste 101
Auburn, CA 95602-2050

Call (530) 885-1961 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XMPSS-DANBAR (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1689353427

Shane M. Moore, MPSS-DSNBAR's National Provider Identifier is 1689353427, issued on Jul 17, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Auburn, CA. The record was last updated on Aug 9, 2024.