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SHANICE KAITLYN JAYE MOORE
NPI 1043845092
Counselor - Addiction (Substance Use Disorder) in Crescent City, CA

Active since March 10, 2020
2298 NORRIS AVE, CRESCENT CITY, CA 95531(707) 464-2919 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2024, Mar 10, 2020 (2 updates tracked since 2020).

About Shanice Kaitlyn Jaye Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANICE KAITLYN JAYE MOORE (NPI 1043845092) is an individual addiction (substance use disorder) provider in Crescent City, California, licensed in California (15527-RAC) and active in the NPI registry since March 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043845092
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANICE KAITLYN JAYE MOORE
Location Address2298 NORRIS AVECrescent City, CA 95531-9344
Mailing Address1600 Weeot WayArcata, CA 95521-4734 · (707) 825-5000
Phone(707) 464-2919
Sole ProprietorYes
Enumeration DateMarch 10, 2020
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1043845092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 15527-RAC
2298 NORRIS AVE, Crescent City, CA 95531
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Secondary Practice Locations 2

Location 11675 Northcrest DrCrescent City, CA 95531-8928 · Phone (707) 464-2750
Location 21600 Weeot WayArcata, CA 95521-4734 · Phone (707) 825-5060

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIE MCLENNAN CSAC II
Counselor (Addiction (Substance Use Disorder))
2298 NORRIS AVE
CRESCENT CITY, CA 95531
Del Norte County (707) 464-2919
UNITED INDIAN HEALTH SERVICES, INC.
Counselor (Addiction (Substance Use Disorder))
2298 NORRIS AVE
CRESCENT CITY, CA 95531
Del Norte County (707) 464-2919

Frequently Asked Questions

What is Shanice Moore's NPI number?

The NPI number assigned to this healthcare provider is 1043845092, enumerated as an "individual" on March 10, 2020.

Where is the provider located?

The provider is located at 2298 NORRIS AVE CRESCENT CITY, CA 95531 and the phone number is (707) 464-2919.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).