person
Kimberly Ann Moore
Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada
NPI 1992007751

Kimberly Ann Moore is an Addiction (Substance Use Disorder) Counselor based in Las Vegas, NV and is specialized in Addiction (Substance Use Disorder). Kimberly Ann Moore practices in Las Vegas, NV. The NPI Number for Kimberly Ann Moore is 1992007751 and holds a License No. 01002 (Nevada).

The current practice location address for Kimberly Ann Moore is 1417 Las Vegas Blvd N, Las Vegas, NV and can be reached out via phone at 702-369-4357.

Location: 1417 Las Vegas Blvd N, Las Vegas, NV, 89101-1115
person
Provider Profile Details
NPI Number
1992007751
Provider Name
Kimberly Ann Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1417 Las Vegas Blvd N, Las Vegas, NV, 89101-1115
Phone Number
702-369-4357
Fax Number
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437594074 05 NV
institution
Provider Business Practice Location Address Details
Address
1417 Las Vegas Blvd N
City
State
Zip
89101-1115
Phone Number
702-369-4357
Fax Number
person
Provider Business Mailing Address Details
Address
1417 Las Vegas Blvd N
City
State
Zip
89101-1115
Phone Number
702-369-4357
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
01002 (Nevada)
Definition
Definition to come...
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