Individual provider · Type 1 NPI

Mary Moore, LPCC/LICDC

Professional Counselor · Cincinnati, OH

NPI number 1083162747 Active

Practice location

446 Morgan St
Cincinnati, OH 45206-2348

Call (513) 834-7063 Map

Fax (513) 873-1567

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.161907 (OH)
Professional Counselor Primary 101YP2500XE.2202957 (OH)

Professional Counselor: Definition to come...

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About NPI 1083162747

Mary Moore, LPCC/LICDC's National Provider Identifier is 1083162747, issued on Sep 12, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cincinnati, OH. The record was last updated on Aug 15, 2023.