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Mr. Gregory Neil Moffett
Addiction (Substance Use Disorder) Counselor in Vista, California
NPI 1124527015

Gregory Neil Moffett is an Addiction (Substance Use Disorder) Counselor based in Vista, CA and is specialized in Addiction (Substance Use Disorder). Gregory Neil Moffett practices in Vista, CA. The NPI Number for Gregory Neil Moffett is 1124527015 and holds a License No. 12297-R (California).

The current practice location address for Gregory Neil Moffett is 504 W Vista Way, Vista, CA and can be reached out via phone at 760-940-1836 and via fax at 760-940-1274.

Location: 504 W Vista Way, Vista, CA, 92083-5704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124527015
Provider Name
Gregory Neil Moffett
Credential
Provider Entity Type
Individual
Gender
Male
Address
504 W Vista Way, Vista, CA, 92083-5704
Phone Number
760-940-1836
Fax Number
760-940-1274
Provider Enumeration Date
02/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821126897 05 CA
institution
Provider Business Practice Location Address Details
Address
504 W Vista Way
City
Vista
State
California
Zip
92083-5704
Phone Number
760-940-1836
Fax Number
760-940-1274
person
Provider Business Mailing Address Details
Address
504 W Vista Way
City
Vista
State
California
Zip
92083-5704
Phone Number
760-940-1836
Fax Number
760-940-1274
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12297-R (California)
Definition
Definition to come...
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