| Mr Tony Curtis Moore, CADC,CCS | |
|
6723 17th Ave, Kenosha, WI 53143-4914 | |
| (262) 605-8442 | |
| (262) 605-8460 |
| Full Name | Mr Tony Curtis Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6723 17th Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689840332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 10820-132 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13313-135 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tony Curtis Moore, CADC,CCS 6723 17th Ave, Kenosha, WI 53143-4914 Ph: (262) 605-8442 | Mr Tony Curtis Moore, CADC,CCS 6723 17th Ave, Kenosha, WI 53143-4914 Ph: (262) 605-8442 |
La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539 | |
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024 | |
Stephanie L Mayberry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-654-8366 Fax: 262-842-0444 | |
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008 | |
Kathleen M Bullard, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4003 80th St Ste 101, Kenosha, WI 53142 Phone: 262-806-1467 Fax: 262-661-7702 | |
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406 | |
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406 |