Individual
DAWN ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, THW, CADC
Contact information
Practice address
356 NE BEACON DR, GRANTS PASS, OR 97526-3815
(541) 474-1033
Mailing address
174 NW NATIVE RUN LOOP, GRANTS PASS, OR 97526-1705
(714) 745-5267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
04/25/2024
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