Individual provider · Type 1 NPI

Madison Blaze Moore

Counselor · Marietta, OH

NPI number 1003499237 Active

Practice location

207D Colegate Dr
Marietta, OH 45750-2363

Call (740) 376-0930 Map

Fax (740) 376-0933

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC.2002225-TRNE (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003499237

Madison Blaze Moore's National Provider Identifier is 1003499237, issued on May 5, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Marietta, OH. The record was last updated on May 5, 2021.