person
Richard Moore
Addiction (Substance Use Disorder) Counselor in Wichita, Kansas
NPI 1619920790

Richard Moore is an Addiction (Substance Use Disorder) Counselor based in Wichita, KS and is specialized in Addiction (Substance Use Disorder). Richard Moore practices in Wichita, KS. The NPI Number for Richard Moore is 1619920790 and holds a License No. 010590 (Kansas).

The current practice location address for Richard Moore is 940 N Waco Ave, Wichita, KS and can be reached out via phone at 316-660-7550 and via fax at 316-383-8241.

Location: 940 N Waco Ave, Wichita, KS, 67203-3602
person
Provider Profile Details
NPI Number
1619920790
Provider Name
Richard Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
940 N Waco Ave, Wichita, KS, 67203-3602
Phone Number
316-660-7550
Fax Number
316-383-8241
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
940 N Waco Ave
City
State
Zip
67203-3947
Phone Number
316-660-7550
Fax Number
316-383-8241
person
Provider Business Mailing Address Details
Address
940 N Waco Ave
City
State
Zip
67203-3947
Phone Number
316-660-7550
Fax Number
316-383-8241
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
010590 (Kansas)
Definition
Definition to come...
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