person
Ms. Carrie L Moore, MA,LMSW,CAAC
Addiction (Substance Use Disorder) Counselor in Kalamazoo, Michigan
NPI 1518907229

Carrie L Moore is an Addiction (Substance Use Disorder) Counselor based in Kalamazoo, MI and is specialized in Addiction (Substance Use Disorder). Carrie L Moore practices in Kalamazoo, MI and has the professional credentials of MA,LMSW,CAAC. The NPI Number for Carrie L Moore is 1518907229 and holds a License No. 6801062534 (Michigan).

The current practice location address for Carrie L Moore is 157 S Kalamazoo Mall, Kalamazoo, MI and can be reached out via phone at 269-383-1440 and via fax at 269-383-9781. You can also correspond with Carrie L Moore through the mailing address at 1110 COBB AVE, KALAMAZOO, MI - 49007-2450 (mailing address contact number: 269-349-7148).

Location: 157 S Kalamazoo Mall, Kalamazoo, MI, 49007-2450
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Provider Profile Details
NPI Number
1518907229
Provider Name
Carrie L Moore
Credential
MA,LMSW,CAAC
Provider Entity Type
Individual
Gender
Female
Address
157 S Kalamazoo Mall, Kalamazoo, MI, 49007-2450
Phone Number
269-383-1440
Fax Number
269-383-9781
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6801062534 01 MI LMSW
C-02372 01 MI CAAC
institution
Provider Business Practice Location Address Details
Address
157 S Kalamazoo Mall
City
State
Zip
49007-4877
Phone Number
269-383-1440
Fax Number
269-383-9781
person
Provider Business Mailing Address Details
Address
157 S Kalamazoo Mall
City
State
Zip
49007-4877
Phone Number
269-383-1440
Fax Number
269-383-9781
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C-02372 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6801062534 (Michigan)
Definition
Definition to come...
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