Individual provider · Type 1 NPI
Michael M. Moore, LCADC, MSW
Addiction (Substance Use Disorder) Counselor · East Orange, NJ
NPI number
1992572507
Active
Practice location
184 Park St Apt 2
East Orange, NJ 07017-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00340200 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1992572507
Michael M. Moore, LCADC, MSW's National Provider Identifier is 1992572507, issued on Dec 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Orange, NJ. The record was last updated on Dec 5, 2023.