Individual
DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5776
(228) 523-4521
Mailing address
2259 CLUB MOSS CIR, BILOXI, MS 39532-3325
(228) 594-0072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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