Casey D Moore is a Peer Specialist based in Hancock, MI. Casey D Moore practices in Hancock, MI. The NPI Number for Casey D Moore is 1457068058 and holds a License No. (Michigan).
The current practice location address for Casey D Moore is 540 Depot St, Hancock, MI and can be reached out via phone at 906-482-7382.
Location: 540 Depot St, Hancock, MI, 49930-2042
Provider Profile Details
NPI Number
1457068058
Provider Name
Casey D Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
540 Depot St, Hancock, MI, 49930-2042
Phone Number
906-482-7382
Fax Number
Provider Enumeration Date
11/02/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
540 Depot St
City
State
Zip
49930-2042
Phone Number
906-482-7382
Fax Number
Provider Business Mailing Address Details
Address
540 Depot St
City
State
Zip
49930-2042
Phone Number
906-482-7382
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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