Timothy Glen Moore, PEER SUPPORT SPECIAL
NPI #1033501184 in Irving, Texas
Provider Information
- NPI Number
- 1033501184
- Entity Type
- Individual
- Name
- Timothy Glen Moore, PEER SUPPORT SPECIAL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- PEER SUPPORT SPECIAL
- Enumeration Date
- Feb 26, 2015
- Last Updated
- Feb 26, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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|---|---|
| Rocky Eugene Banda | |
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Organizations
| Provider Name | |
|---|---|
| Wellspring Wellness Manifest |
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