Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Diane Moore, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134749757

Courtney Diane Moore, RADT is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

835 25th St
San Diego, CA 92102-2738
Phone: (619) 239-9691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1134749757
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorYes
NPI enumeratedApril 23, 2020
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020

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