Individual
STEPHANIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ADDC
Contact information
Practice address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 978-4386
Mailing address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(720) 473-9650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADDC.0000354
CO
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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