Amy A Moore is a Peer Specialist based in Wasilla, AK. Amy A Moore practices in Wasilla, AK. The NPI Number for Amy A Moore is 1639943541 and holds a License No. (Alaska).
The current practice location address for Amy A Moore is 1363 W Spruce Ave, Wasilla, AK and can be reached out via phone at 907-376-2411.
Location: 1363 W Spruce Ave, Wasilla, AK, 99654-5327
Provider Profile Details
NPI Number
1639943541
Provider Name
Amy A Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1363 W Spruce Ave, Wasilla, AK, 99654-5327
Phone Number
907-376-2411
Fax Number
Provider Enumeration Date
11/10/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1363 W Spruce Ave
City
State
Zip
99654-5327
Phone Number
907-376-2411
Fax Number
Provider Business Mailing Address Details
Address
1363 W Spruce Ave
City
State
Zip
99654-5327
Phone Number
907-376-2411
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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