Individual
AARON CLAUDE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(800) 465-3203
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(800) 465-3203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1248160417
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9720610
—
CA
Enumeration date
10/25/2020
Last updated
09/30/2021
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