Stephen Moore, L.C.S.W

NPI 1396143749 · on the registry since 2014 · sole proprietor

Practice

Address: 1404 W State Rd
Pleasant Grove, UT 84062
Phone: (801) 520-3970
Organisation at this address: Solasta Healing Center
Intuitive Life Balance
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YM0800X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah