person
Shanice Kaitlyn Jaye Moore
Addiction (Substance Use Disorder) Counselor in Crescent City, California
NPI 1043845092

Shanice Kaitlyn Jaye Moore is an Addiction (Substance Use Disorder) Counselor based in Arcata, CA and is specialized in Addiction (Substance Use Disorder). Shanice Kaitlyn Jaye Moore practices in Crescent City, CA. The NPI Number for Shanice Kaitlyn Jaye Moore is 1043845092 and holds a License No. 15527-RAC (California).

The current practice location address for Shanice Kaitlyn Jaye Moore is 2298 Norris Ave, Crescent City, CA and can be reached out via phone at 707-464-2919.

Location: 2298 Norris Ave, Crescent City, CA, 95521-4734
person
Provider Profile Details
NPI Number
1043845092
Provider Name
Shanice Kaitlyn Jaye Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2298 Norris Ave, Crescent City, CA, 95521-4734
Phone Number
707-464-2919
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2298 Norris Ave
City
State
Zip
95531-9344
Phone Number
707-464-2919
Fax Number
person
Provider Business Mailing Address Details
Address
2298 Norris Ave
City
State
Zip
95531-9344
Phone Number
707-464-2919
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15527-RAC (California)
Definition
Definition to come...
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