NPI 1013756113

Kyle Lee Moore

Practitioner Addiction (Substance Use Disorder) Counselor El Monte, CA

Practice location

Address: 3430 Cogswell Rd, El Monte, CA 91732-2785
Phone: (626) 453-3400
Fax: (626) 453-3410

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1013756113
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2024
Record last updated: 20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.