NPI 1558503847

George Moore, LADAC

Practitioner Addiction (Substance Use Disorder) Counselor Zuni, NM

Practice location

Address: 101 D Avenue, Zuni, NM 87327
Phone: (505) 782-4710
Fax: (505) 782-5880
Mailing address: PO Box 339, Zuni, NM 87327-0339

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 0110951 (NM)

Other Counselor providers in New Mexico →

Registry record

NPI: 1558503847
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2009
Record last updated: 1 Apr 2009

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.