Individual provider · Type 1 NPI

Ross Moore, L.P.C.C.

Professional Counselor · Lorain, OH

NPI number 1124225420 Active

Practice location

6140 S Broadway
Lorain, OH 44053-3821

Fax (440) 233-9070

Mailing address

125 Brookfield Rd
Avon Lake, OH 44012-1504

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE0008022 (OH)

Professional Counselor: Definition to come...

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About NPI 1124225420

Ross Moore, L.P.C.C.'s National Provider Identifier is 1124225420, issued on Jun 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lorain, OH. The record was last updated on Jul 8, 2007.