Individual provider · Type 1 NPI
Tony Curtis Moore, CADC, CCS
Addiction (Substance Use Disorder) Counselor · Kenosha, WI
NPI number
1689840332
Active
Practice location
6723 17th Ave
Kenosha, WI 53143-4914
Fax (262) 605-8460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 10820-132 (WI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13313-135 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689840332
Tony Curtis Moore, CADC, CCS's National Provider Identifier is 1689840332, issued on May 2, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kenosha, WI. The record was last updated on May 2, 2008.