person
Irish Moore
Peer Specialist in Sheridan, Wyoming
NPI 1477246783

Irish Moore is a Peer Specialist based in Sheridan, WY. Irish Moore practices in Sheridan, WY. The NPI Number for Irish Moore is 1477246783 and holds a License No. 126 (Wyoming).

The current practice location address for Irish Moore is 1221 W 5Th St, Sheridan, WY and can be reached out via phone at 307-674-4405. You can also correspond with Irish Moore through the mailing address at 1221 W 5TH ST, SHERIDAN, WY - 82801-2701 (mailing address contact number: 307-674-4405).

Location: 1221 W 5Th St, Sheridan, WY, 82801-2701
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Provider Profile Details
NPI Number
1477246783
Provider Name
Irish Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1221 W 5Th St, Sheridan, WY, 82801-2701
Phone Number
307-674-4405
Fax Number
Provider Enumeration Date
06/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1221 W 5Th St
City
State
Zip
82801-2701
Phone Number
307-674-4405
Fax Number
person
Provider Business Mailing Address Details
Address
1221 W 5Th St
City
State
Zip
82801-2701
Phone Number
307-674-4405
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
126 (Wyoming)
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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