Individual provider · Type 1 NPI
Ronny Moore, PLADC
Addiction (Substance Use Disorder) Counselor · Omaha, NE
NPI number
1912377664
Active
Practice location
2808 N 75th St
Omaha, NE 68134-6861
Fax (402) 932-3557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | P432 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912377664
Ronny Moore, PLADC's National Provider Identifier is 1912377664, issued on Oct 6, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omaha, NE. The record was last updated on Oct 6, 2015.