SearchNew Jersey101YA0400X

Michael Moore, LCADC, MSW

NPI 1992572507 · on the registry since 2023 · sole proprietor

Practice

Address
184 Park St Apt 2
East Orange, NJ 07017
Phone
(973) 380-5339

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-05

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 New Jersey