person
Mr. Tony Curtis Moore, CADC,CCS
Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin
NPI 1689840332

Tony Curtis Moore is an Addiction (Substance Use Disorder) Counselor based in Kenosha, WI and is specialized in Addiction (Substance Use Disorder). Tony Curtis Moore practices in Kenosha, WI and has the professional credentials of CADC,CCS. The NPI Number for Tony Curtis Moore is 1689840332 and holds a License No. 10820-132 (Wisconsin).

The current practice location address for Tony Curtis Moore is 6723 17Th Ave, Kenosha, WI and can be reached out via phone at 262-605-8442 and via fax at 262-605-8460. You can also correspond with Tony Curtis Moore through the mailing address at 6723 17TH AVE, KENOSHA, WI - 53143-4914 (mailing address contact number: 262-605-8442).

Location: 6723 17Th Ave, Kenosha, WI, 53143-4914
person
Provider Profile Details
NPI Number
1689840332
Provider Name
Tony Curtis Moore
Credential
CADC,CCS
Provider Entity Type
Individual
Gender
Male
Address
6723 17Th Ave, Kenosha, WI, 53143-4914
Phone Number
262-605-8442
Fax Number
262-605-8460
Provider Enumeration Date
05/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6723 17Th Ave
City
State
Zip
53143-4914
Phone Number
262-605-8442
Fax Number
262-605-8460
person
Provider Business Mailing Address Details
Address
6723 17Th Ave
City
State
Zip
53143-4914
Phone Number
262-605-8442
Fax Number
262-605-8460
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
13313-135 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10820-132 (Wisconsin)
Definition
Definition to come...
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