COURTNEY DIANE MOORE

SAN DIEGO, CA
NPI1134749757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-04-23
Last Update Date2020-04-23
Business Address
COURTNEY DIANE MOORE RADT
835 25TH ST
SAN DIEGO, CA 92102-2738
Phone number: 619-239-9691
Mailing Address
COURTNEY DIANE MOORE RADT
PO BOX 120165
SAN DIEGO, CA 92112
Phone number: 619-929-8534