Shannon David Moore
Shannon David Moore is an Addiction (Substance Use Disorder) Counselor in Frederick, Maryland. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
201 Broadway StFrederick, MD 21701-6695
Phone: (240) 801-7799
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1710734157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2024 |
| Last updated in NPPES | May 3, 2024 |
| Certification date | May 3, 2024 |
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