Patricia Diahann Moore

NPI #1841657244 in Divide, Colorado

Provider Information

NPI Number: 1841657244
Entity Type: Individual
Name: Patricia Diahann Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jan 15, 2016
Last Updated: Jan 15, 2016

Practice Location

Address: 133 CHEESMAN LAKE CIR
City: Divide
State: Colorado
ZIP Code: 80814-9776
Phone: (719) 686-1781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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