Individual provider · Type 1 NPI

Savannah Moore

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1912694019 Active

Practice location

623 Great Jones St
Fairfield, CA 94533-6005

Mailing address

419 Mason St Ste 214
Vacaville, CA 95688-4597

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1912694019

Savannah Moore's National Provider Identifier is 1912694019, issued on Apr 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on May 13, 2025.