Individual
HEATHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LASAC
Contact information
Practice address
620 N CRAYCROFT RD, TUCSON, AZ 85711-1448
(520) 519-8550
(520) 747-3260
Mailing address
620 N CRAYCROFT RD, TUCSON, AZ 85711-1448
(520) 519-8550
(520) 747-3260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15103
AZ
Other
Enumeration date
03/26/2016
Last updated
03/26/2016
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