MR. GEORGE MOORE LADAC NPI 1558503847

NPI Information

  • NPI: 1558503847
  • Provider Name: MR. GEORGE MOORE, LADAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 101 D AVENUE
    ZUNI, NM
    ZIP 87327
  • Phone: (505) 782-4710

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NPI Details

MR. George Moore, LADAC is an addiction (substance use disorder) counselor in Zuni, NM. MR. George Moore, LADAC NPI is 1558503847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 D AVENUE
ZUNI, NM
ZIP 87327
Phone: (505) 782-4710
Fax: (505) 782-5880

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)0110951NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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