SEBASTIAN MOORE CASAC NPI 1811408529

NPI Information

  • NPI: 1811408529
  • Provider Name: SEBASTIAN MOORE, CASAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 321 W ONONDAGA ST STE 201
    SYRACUSE, NY
    ZIP 13202
  • Phone: (315) 478-0610

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NPI Details

Sebastian Moore, CASAC is an addiction (substance use disorder) counselor in Syracuse, NY. Sebastian Moore, CASAC NPI is 1811408529. 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:

321 W ONONDAGA ST STE 201
SYRACUSE, NY
ZIP 13202-207
Phone: (315) 478-0610
Fax: (315) 478-2510

The enumeration date for this NPI number is 10/20/2017 and was last updated on 10/20/2017.

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)Yes

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: 11/21/2025

NPI Synchronization or Removal

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