Individual
ASHLEY JOSSELYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA PSYCHOLOGY
Contact information
Practice address
41945 BIG BEAR BLVD # 222, BIG BEAR LAKE, CA 92315-2030
(909) 866-5070
Mailing address
PO BOX 6300, CRESTLINE, CA 92325-6300
(909) 336-3330
(951) 300-4719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
05/02/2025
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