Individual
MRS. SUSAN KAY MOORE-SEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.T
Contact information
Practice address
850 W ANTLER AVE, REDMOND, OR 97756-2129
(541) 316-2041
Mailing address
1333 NW 9TH ST, PRINEVILLE, OR 97754-1482
(541) 447-6119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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