TONY CURTIS MOORE

KENOSHA, WI
NPI1689840332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  13313-135)
Additional Taxonomies101Y00000X Counselor
(Licence: WI  10820-132)
Enumeration Date2008-05-02
Last Update Date2008-05-02
Business Address
Mr. TONY CURTIS MOORE CADC,CCS
6723 17TH AVE
KENOSHA, WI 53143-4914
Phone number: 262-605-8442
Mailing Address
Mr. TONY CURTIS MOORE CADC,CCS
6723 17TH AVE
KENOSHA, WI 53143-4914
Phone number: 262-605-8442