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

Jacob Robert Moore, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043163850

Jacob Robert Moore, RADT is an Addiction (Substance Use Disorder) Counselor in Visalia, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

120 W School Ave
Visalia, CA 93291-4925
Phone: (559) 625-4100
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 RT1452360826 (CA)

Record details

NPI number1043163850
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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