Shane Moore, MPSS-DSNBAR

NPI 1689353427 · on the registry since 2023 · sole proprietor

Practice

Address: 12183 Locksley Ln Ste 101
Auburn, CA 95602
Phone: (530) 885-1961
Organisation at this address: Eagle Recovery Programs
Granite Wellness Centers
Sierra Foothills Aids Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Also registered as: Community Health Worker
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-09

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 California