Individual
TERMIKA ANTUNETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5715 W ALEXANDER RD STE 110, LAS VEGAS, NV 89130-2815
(813) 847-3283
Mailing address
5715 W ALEXANDER RD STE 110, LAS VEGAS, NV 89130-2815
(813) 847-3283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/27/2019
Last updated
07/22/2020
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