Individual provider · Type 1 NPI

Kenneisha Moore

Addiction (Substance Use Disorder) Counselor · Antioch, CA

NPI number 1942574546 Active

Practice location

1915 D St
Antioch, CA 94509-2571

Call (925) 754-3673 Map

Fax (925) 754-2002

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 1942574546

Kenneisha Moore's National Provider Identifier is 1942574546, issued on Feb 28, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, CA. The record was last updated on Feb 28, 2012.