Individual
MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 E HERSEY ST STE 8, ASHLAND, OR 97520-1200
(541) 488-2101
Mailing address
302 E HERSEY ST STE 8, ASHLAND, OR 97520-1200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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