Search › Wisconsin › Addiction (Substance Use Disorder) Counselor
Tony Moore, CADC,CCS
NPI 1689840332 · on the registry since 2008
Practice
- Address
- 6723 17th Ave
Kenosha, WI 53143 - Phone
- (262) 605-8442
- Fax
- (262) 605-8460
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Also registered as
- Counselor
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-02
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 Wisconsin