person
Mr. James Eddie Moore, CADC-III
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1427194877

James Eddie Moore is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). James Eddie Moore practices in Milwaukee, WI and has the professional credentials of CADC-III. The NPI Number for James Eddie Moore is 1427194877 and holds a License No. 2041 (Wisconsin).

The current practice location address for James Eddie Moore is 2319 W Capitol Dr, Milwaukee, WI and can be reached out via phone at 414-744-5370 and via fax at 414-744-9052.

Location: 2319 W Capitol Dr, Milwaukee, WI, 53216-3135
person
Provider Profile Details
NPI Number
1427194877
Provider Name
James Eddie Moore
Credential
CADC-III
Provider Entity Type
Individual
Gender
Male
Address
2319 W Capitol Dr, Milwaukee, WI, 53216-3135
Phone Number
414-744-5370
Fax Number
414-744-9052
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39369400 05 WI
institution
Provider Business Practice Location Address Details
Address
2319 W Capitol Dr
City
State
Zip
53206-1919
Phone Number
414-744-5370
Fax Number
414-744-9052
person
Provider Business Mailing Address Details
Address
2319 W Capitol Dr
City
State
Zip
53206-1919
Phone Number
414-744-5370
Fax Number
414-744-9052
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2041 (Wisconsin)
Definition
Definition to come...
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