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Robert Moore
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1407101686

Robert Moore is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Robert Moore practices in Stockton, CA. The NPI Number for Robert Moore is 1407101686 and holds a License No. (California).

The current practice location address for Robert Moore is 503 S Pershing Ave, Stockton, CA and can be reached out via phone at 209-810-8564.

Location: 503 S Pershing Ave, Stockton, CA, 95203-3236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407101686
Provider Name
Robert Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
503 S Pershing Ave, Stockton, CA, 95203-3236
Phone Number
209-810-8564
Fax Number
Provider Enumeration Date
07/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
503 S Pershing Ave
City
Stockton
State
California
Zip
95203-3236
Phone Number
209-810-8564
Fax Number
person
Provider Business Mailing Address Details
Address
503 S Pershing Ave
City
Stockton
State
California
Zip
95203-3236
Phone Number
209-810-8564
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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