Kevin Jewayne Moore
Kevin Jewayne Moore is an Addiction (Substance Use Disorder) Counselor in Benton Harbor, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1485 M 139Benton Harbor, MI 49022-5711
Phone: (269) 925-0585
Fax: (269) 927-1326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1710551510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 17, 2021 |
| Last updated in NPPES | May 17, 2021 |
| Certification date | May 17, 2021 |
| Mailing address | 1485 M 139, Benton Harbor, MI 49022-5711 |
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