Individual
CHRIS DASAMBIAGIO-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
2303 13TH ST, TUSCALOOSA, AL 35401-2924
(205) 737-4675
Mailing address
2303 13TH ST, TUSCALOOSA, AL 35401-2924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3696
AL
101YM0800X
Mental Health Counselor
Primary
3696
AL
Other
Enumeration date
01/17/2019
Last updated
12/31/2019
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