Individual
MR. MICHAEL M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC, MSW
Contact information
Practice address
184 PARK ST APT 2, EAST ORANGE, NJ 07017-1116
(973) 380-5339
Mailing address
184 PARK ST APT 2, EAST ORANGE, NJ 07017-1116
(973) 380-5339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00340200
NJ
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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