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

Kimberely Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639900400

Kimberely Moore is an Addiction (Substance Use Disorder) Counselor in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1225 W 6th St
Santa Ana, CA 92703-2101
Phone: (714) 972-1402
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 R1418660221 (CA)

Record details

NPI number1639900400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

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