Krista K. Moore SAC-IT
Addiction (Substance Use Disorder) Counselor in Oshkosh, WI(View on Map)
Full Name
Krista Kay Moore SAC-IT
NPI Number
1023627767
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/29/2020
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
19216-130
Contact
Information
Purpose
Mailing
Location
Address
505 S WASHBURN ST
505 S WASHBURN ST
City
Oshkosh
Oshkosh
State
WI
WI
Postal Code
54904-7949
54904-7949
Country
US
US
Telephone Number
(920) 232-2332
(920) 232-2332
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/29/2020
Provider Address
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