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Ray A Moore, CACIII
Addiction (Substance Use Disorder) Counselor in Pueblo, Colorado
NPI 1780823575

Ray A Moore is an Addiction (Substance Use Disorder) Counselor based in Pueblo, CO and is specialized in Addiction (Substance Use Disorder). Ray A Moore practices in Pueblo, CO and has the professional credentials of CACIII. The NPI Number for Ray A Moore is 1780823575 and holds a License No. 6281 (Colorado).

The current practice location address for Ray A Moore is 310 W C St, Pueblo, CO and can be reached out via phone at 719-296-1366 and via fax at 719-296-6825.

Location: 310 W C St, Pueblo, CO, 81003-3409
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Provider Profile Details
NPI Number
1780823575
Provider Name
Ray A Moore
Credential
CACIII
Provider Entity Type
Individual
Gender
Male
Address
310 W C St, Pueblo, CO, 81003-3409
Phone Number
719-296-1366
Fax Number
719-296-6825
Provider Enumeration Date
02/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447389382 05 CO
institution
Provider Business Practice Location Address Details
Address
310 W C St
City
State
Zip
81003-3409
Phone Number
719-296-1366
Fax Number
719-296-6825
person
Provider Business Mailing Address Details
Address
310 W C St
City
State
Zip
81003-3409
Phone Number
719-296-1366
Fax Number
719-296-6825
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6281 (Colorado)
Definition
Definition to come...
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