person
Kevin Jewayne Moore
Addiction (Substance Use Disorder) Counselor in Benton Harbor, Michigan
NPI 1710551510

Kevin Jewayne Moore is an Addiction (Substance Use Disorder) Counselor based in Benton Harbor, MI and is specialized in Addiction (Substance Use Disorder). Kevin Jewayne Moore practices in Benton Harbor, MI. The NPI Number for Kevin Jewayne Moore is 1710551510 and holds a License No. (Michigan).

The current practice location address for Kevin Jewayne Moore is 1485 M 139, Benton Harbor, MI and can be reached out via phone at 269-925-0585 and via fax at 269-927-1326.

Location: 1485 M 139, Benton Harbor, MI, 49022-5711
person
Provider Profile Details
NPI Number
1710551510
Provider Name
Kevin Jewayne Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1485 M 139, Benton Harbor, MI, 49022-5711
Phone Number
269-925-0585
Fax Number
269-927-1326
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1485 M 139
City
State
Zip
49022-5711
Phone Number
269-925-0585
Fax Number
269-927-1326
person
Provider Business Mailing Address Details
Address
1485 M 139
City
State
Zip
49022-5711
Phone Number
269-925-0585
Fax Number
269-927-1326
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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