Individual
COURTNEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 E 5900 S STE 101, MURRAY, UT 84107-7256
(801) 261-5790
Mailing address
14601 S PEBBLE ROSE DR, HERRIMAN, UT 84096-3851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12577990-6018
UT
Other
Enumeration date
11/17/2023
Last updated
11/24/2023
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