MR. Nathaniel A Moore, LAC

NPI #1518565803 in Marion, Montana

Provider Information

NPI Number
1518565803
Entity Type
Individual
Name
MR. Nathaniel A Moore, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC
Enumeration Date
Oct 9, 2020
Last Updated
Jun 30, 2021

Practice Location

Address
200 HUBBART DAM RD
City
Marion
State
Montana
ZIP Code
59925-9708
Phone
(406) 296-4272

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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