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

Dustin Moore, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639674823

Dustin Moore, LSAA is an Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.

Licensed in
NM
In the registry since
2018

Practice location Address checks out

511 E 20th St
Farmington, NM 87401-2105
Phone: (505) 564-3733
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 · Licence CSA0195451 (NM)

Record details

NPI number1639674823
Entity typeIndividual (Type 1)
GenderMale
Credentials LSAA
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESMarch 28, 2018

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