Sybl Alexandra Moore in Stockton - Addiction (substance Use Disorder)
Sybl Alexandra Moore - NPI 1336317791
Sybl Alexandra Moore is a Addiction (substance Use Disorder) in Stockton, California. Sybl Alexandra Moore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sybl Alexandra Moore is 1336317791. The last update date is 2008-02-19.
Sybl Alexandra Moore's current location address is 1111 N El Dorado St, Stockton, California. You can contact this provider via phone number 2099380228 and fax number 2099380281. The mailing address for Sybl Alexandra Moore is 1111 N El Dorado St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sybl Alexandra Moore |
|---|---|
| Address | 1111 N El Dorado St, Stockton, California |
| Phone Number | 2099380228 |
| Fax Number | 2099380281 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336317791 |
|---|---|
| Provider Enumeration Date | 2008-02-19 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 1111 N El Dorado St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952021305 |
| Phone Number | 2099380228 |
| Fax Number | 2099380281 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique provider identifier assigned to Sybl Alexandra Moore?
The Sybl Alexandra Moore has been issued the NPI (National Provider Identifier) 1336317791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Sybl Alexandra Moore?
The Sybl Alexandra Moore is situated at 1111 N El Dorado St, in the city of Stockton, state of CA, with the zip code 952021305.
What is Sybl Alexandra Moore's area of expertise and its corresponding taxonomy classification?
The Sybl Alexandra Moore's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1336317791 to Sybl Alexandra Moore?
The Centers for Medicare & Medicaid Services assigned the 1336317791 to Sybl Alexandra Moore on 2008-02-19.
As of what date were the details related to Sybl Alexandra Moore most recently updated or revised?
The information pertaining to Sybl Alexandra Moore, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-19.