DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB ROBERT MOORE RADT

MEDICARE: JACOB ROBERT MOORE RADT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorR1629650825CA

General Provider Information

NPI Number : 1043163850
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB ROBERT MOORE RADT
Provider Business Mailing Address
First Line : 120 W SCHOOL AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-4925
Country : US
Telephone Number : 559-625-4100
Fax Number :
Provider Business Practice Location Address
First Line : 120 W SCHOOL AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-4925
Country : US
Telephone Number : 559-625-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/25/2026

Similar Medicare Providers

1326390972 — MR. STEVE L CUMMINGS CADC II, ICADC
Practice Location Address:
120 W SCHOOL AVE
VISALIA, CA
93291-4925
Practice Phone: 559-625-4100
Practice Fax: 559-625-1970
1801255443 — MR. DAVID ALLEN ANDERSEN CADC-II ,ICADC
Practice Location Address:
120 W SCHOOL AVE
VISALIA, CA
93291-4925
Practice Phone: 559-625-4100
Practice Fax: 559-625-1970
1801256078 — CENTRAL VALLEY RECOVERY SERVICES, INC.
Practice Location Address:
120 W SCHOOL AVE
VISALIA, CA
93291-4925
Practice Phone: 559-625-4100
Practice Fax: 559-625-1970
1598126013 — BRIAN THOMAS
Practice Location Address:
120 W SCHOOL AVE
VISALIA, CA
93291-4925
Practice Phone: 559-625-4100
Practice Fax: 559-625-1970
1366987646 — ROBBIE THOMPSON I CADC-II CA
Practice Location Address:
120 W SCHOOL AVE
VISALIA, CA
93291-4925
Practice Phone: 559-625-4100
Practice Fax:
1669986626 — MR. LARRY EUGENE ANDRADE II CADC II
Practice Location Address:
120 W SCHOOL AVE
VISALIA, CA
93291-4925
Practice Phone: 559-625-4100
Practice Fax: 559-625-1970

Directions to “ JACOB ROBERT MOORE RADT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.