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

Shanice Kaitlyn Jaye Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043845092

Shanice Kaitlyn Jaye Moore is an Addiction (Substance Use Disorder) Counselor in Crescent City, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

2298 Norris Ave
Crescent City, CA 95531-9344
Phone: (707) 464-2919
Show map & directions

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

Additional practice locations (2)

  • 1600 Weeot Way, Arcata, CA 95521-4734 — (707) 825-5060
  • 1675 Northcrest Dr, Crescent City, CA 95531-8928 — (707) 464-2750

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15527-RAC (CA)

Record details

NPI number1043845092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Other providers in Crescent City