person
Stephanie Moore, MA,CADC,CTP
Addiction (Substance Use Disorder) Counselor in Tama, Iowa
NPI 1912543497

Stephanie Moore is an Addiction (Substance Use Disorder) Counselor based in Tama, IA and is specialized in Addiction (Substance Use Disorder). Stephanie Moore practices in Tama, IA and has the professional credentials of MA,CADC,CTP. The NPI Number for Stephanie Moore is 1912543497 and holds a License No. 19016 (Iowa).

The current practice location address for Stephanie Moore is 1646 305Th St, Tama, IA and can be reached out via phone at 641-484-9482 and via fax at 641-484-9477.

Location: 1646 305Th St, Tama, IA, 52339-9698
person
Provider Profile Details
NPI Number
1912543497
Provider Name
Stephanie Moore
Credential
MA,CADC,CTP
Provider Entity Type
Individual
Gender
Female
Address
1646 305Th St, Tama, IA, 52339-9698
Phone Number
641-484-9482
Fax Number
641-484-9477
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0074575 05 IA
institution
Provider Business Practice Location Address Details
Address
1646 305Th St
City
State
Zip
52339-9698
Phone Number
641-484-9482
Fax Number
641-484-9477
person
Provider Business Mailing Address Details
Address
1646 305Th St
City
State
Zip
52339-9698
Phone Number
641-484-9482
Fax Number
641-484-9477
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19016 (Iowa)
Definition
Definition to come...
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