Individual provider · Type 1 NPI

Jerri Dawn Moore

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1295235679 Active

Practice location

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

Mailing address

511 Carroll St
Waverly, OH 45690-1202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X130829 (OH)

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

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About NPI 1295235679

Jerri Dawn Moore's National Provider Identifier is 1295235679, issued on Feb 13, 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 Feb 13, 2018.