Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NATHANIEL A MOORE, LAC
ActiveMR. NATHANIEL A MOORE, LAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MARION, Montana. NPI 1518565803 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MARION, MT
Registration Details
- NPI Number
- 1518565803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2020 (5.8946594728294 yrs)
- Last Updated
- Jun 30, 2021
- Licenses
-
11780420-6006 (UT)BBH-LAC-LIC-30140 (MT)
Practice Information
- Address
-
200 HUBBART DAM RDMARION, MT, 599259708Browse MT providers · Browse ZIP 59925
- Phone
- 4062964272
- Fax
- 4068542835
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
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.