Individual provider · Type 1 NPI

Roger Moore

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1265921316 Active

Practice location

14572 US Highway 23 Ste A
Waverly, OH 45690-9448

Mailing address

5484 Pond Run Rd Unit B
Stout, OH 45684-8002

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265921316

Roger Moore's National Provider Identifier is 1265921316, issued on May 4, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on May 4, 2018.