Individual
BRIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702-130 RICHMOND RD E, SUSANVILLE, CA 96130-5029
(530) 257-5644
Mailing address
PO BOX 3940, QUINCY, CA 95971-3940
(530) 283-3330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
02/03/2021
Last updated
06/28/2023
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