| Shanice Kaitlyn Jaye Moore, | |
|
2298 Norris Ave, Crescent City, CA 95531-9344 | |
| (707) 464-2919 | |
| Not Available |
| Full Name | Shanice Kaitlyn Jaye Moore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2298 Norris Ave, Crescent City, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043845092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15527-RAC (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shanice Kaitlyn Jaye Moore, 1600 Weeot Way, Arcata, CA 95521-4734 Ph: (707) 825-5000 | Shanice Kaitlyn Jaye Moore, 2298 Norris Ave, Crescent City, CA 95531-9344 Ph: (707) 464-2919 |
Celia Perez, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 9th St, Crescent City, CA 95531 Phone: 707-460-6391 | |
Ger Xiong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 Fax: 707-464-4572 | |
Rea Ann Cadjew Beard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 455 K St, Crescent City, CA 95531 Phone: 707-464-7224 Fax: 707-465-0855 | |
Rebecca Ann Lawrence, LMFT, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2721 Alder Rd, Crescent City, CA 95531 Phone: 707-464-6477 | |
Damien Beauchemin, Counselor Medicare: Medicare Enrolled Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 Fax: 707-464-4572 | |
Severin Susan Walston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 Fax: 707-465-4572 |