Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANICE KAITLYN JAYE MOORE
Active Sole ProprietorSHANICE KAITLYN JAYE MOORE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CRESCENT CITY, California. NPI 1043845092 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CRESCENT CITY, CA
Registration Details
- NPI Number
- 1043845092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 10, 2020 (6.2492522652449 yrs)
- Last Updated
- Mar 6, 2024
- License
-
15527-RAC (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2298 NORRIS AVECRESCENT CITY, CA, 955319344Browse CA providers · Browse ZIP 95531
- Phone
- 7074642919
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CRESCENT CITY, CA
| Name | Credential | NPI |
|---|---|---|
| ANNIE MCLENNAN | CSAC II | 1710963541 |
| MS. RACHEL INEZ ALLEN | CADC I | 1629496104 |
| NAOME MICHAEL LYNN WORKMAN | CADCII, ICADC | 1720489438 |
| DEBRA MAGANA-PARSONS | — | 1568864403 |
| ASHLEY ELIZABETH HEPBURN | RADT | 1245722800 |
| WILLIAM BOWDEN | — | 1093285744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.