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COURTNEY DIANE MOORE RADT
NPI 1134749757
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since April 23, 2020
835 25TH ST, SAN DIEGO, CA 92102(619) 239-9691 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Diane Moore Radt NPPES

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

COURTNEY DIANE MOORE RADT (NPI 1134749757) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1134749757
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCOURTNEY DIANE MOORECredential: RADT
Location Address835 25TH STSan Diego, CA 92102-2738
Mailing AddressPo Box 120165San Diego, CA 92112 · (619) 929-8534
Phone(619) 239-9691
Sole ProprietorYes
Enumeration DateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1134749757 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
835 25TH ST, San Diego, CA 92102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

MR. IOKEPA G MAHI
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
CRASH, INC.
Substance Abuse Rehabilitation Facility
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
MADELINE BELTON
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
MICHAEL ANTHONY HOBBS
Social Worker (Clinical)
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
LILIA ULUFANUA
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
STACY RABANAL
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
BIANCA LASHEA PRUITT
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
CHANDA DANIELLE SANGERMAN
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Moore's NPI number?

The NPI number for Courtney Moore is 1134749757. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Courtney Moore located?

Courtney Moore practices at 835 25th St, San Diego, CA 92102. The listed phone number is (619) 239-9691.

What is Courtney Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Courtney Moore was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.