Individual provider · Type 1 NPI

Douglas G. Moore

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1760008460 Active

Practice location

1801 Cherry Hill Rd
Baltimore, MD 21230-3503

Fax (410) 225-5452

Mailing address

1173 Hampton Rd
Annapolis, MD 21409-4844

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X789 (MD)

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

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About NPI 1760008460

Douglas G. Moore's National Provider Identifier is 1760008460, issued on Jun 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Jun 19, 2020.