Moore, Janice Renee

Moore, Janice Renee is an individual health care provider with primary practice located at 1304 Chinook Ln , Pueblo CO 81001-1851. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Moore, Janice Renee can be contacted via phone (719) 545-2746.

Contact Information

Primary practice address
1304 Chinook Ln Pueblo CO 81001-1851
Phone: (719) 545-2746
Fax: (719) 584-0110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACA.0007115 Colorado

Profile Details

NPI number 1184130296
LBN Legal business name Moore, Janice Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2017
Last updated Jan 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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