person
Jason Thomas Moore
Addiction (Substance Use Disorder) Counselor in Santa Monica, California
NPI 1326805359

Jason Thomas Moore is an Addiction (Substance Use Disorder) Counselor based in San Pedro, CA and is specialized in Addiction (Substance Use Disorder). Jason Thomas Moore practices in Santa Monica, CA. The NPI Number for Jason Thomas Moore is 1326805359 and holds a License No. (California).

The current practice location address for Jason Thomas Moore is 907 Pico Blvd, Santa Monica, CA and can be reached out via phone at 310-314-6200.

Location: 907 Pico Blvd, Santa Monica, CA, 90731-3108
person
Provider Profile Details
NPI Number
1326805359
Provider Name
Jason Thomas Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
907 Pico Blvd, Santa Monica, CA, 90731-3108
Phone Number
310-314-6200
Fax Number
Provider Enumeration Date
03/05/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
907 Pico Blvd
City
State
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
person
Provider Business Mailing Address Details
Address
907 Pico Blvd
City
State
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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