Carrie Renae Moore SAC-IT

NPI # 

Practice Address:

6321 23Rd Ave

Kenosha, WI, 53143-4805

Practice Phone:

262-671-1625

Practice Fax:

866-719-3024

License Number:

20205-130

License State:

WI

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Addiction (Substance Use Disorder)

Taxonomy Code:

101YA0400X