SHANICE KAITLYN JAYE MOORE

CRESCENT CITY, CA
NPI1043845092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15527-RAC)
Enumeration Date2020-03-10
Last Update Date2024-03-06
Business Address
SHANICE KAITLYN JAYE MOORE
2298 NORRIS AVE
CRESCENT CITY, CA 95531-9344
Phone number: 707-464-2919
Mailing Address
SHANICE KAITLYN JAYE MOORE
1600 WEEOT WAY
ARCATA, CA 95521-4734
Phone number: 707-825-5000
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