MICHAEL CHARLES MOORE

LOS ANGELES, CA
NPI1407393846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  M1310071045)
Enumeration Date2017-01-24
Last Update Date2017-01-24
Business Address
-- MICHAEL CHARLES MOORE CATC
2123 W 77TH ST
LOS ANGELES, CA 90047-2312
Phone number: 323-758-6104
Mailing Address
-- MICHAEL CHARLES MOORE CATC
2123 W 77TH ST
LOS ANGELES, CA 90047
Phone number: 323-758-6104
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