Patricia Diahann Moore
Patricia Diahann Moore is a Counselor in Divide, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
133 Cheesman Lake CirDivide, CO 80814-9776 Not confirmed with CMS for 10 years — call before visiting
Phone: (719) 686-1781
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence ACB0007760 (CO) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence NLC0011260 (CO) |
Record details
| NPI number | 1841657244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2016 |
| Last updated in NPPES | January 15, 2016 |
Other providers in Divide
-
MS. Jacqueline Revello, MA, RN
11115 W Hwy 24 Unit 2C, Divide, CO 80814 · (719) 687-6416
-
Barbara Jean Wegener, LPC
337 Blue Spruce Rd, Divide, CO 80814-7701 · (719) 396-4650