Individual provider · Type 1 NPI

Nicole J. Moore, CDCA

Addiction (Substance Use Disorder) Counselor · Painesville, OH

NPI number 1326866435 Active

Practice location

134 S Saint Clair St
Painesville, OH 44077-3421

Mailing address

29680 Phillips Ave
Wickliffe, OH 44092-2210

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.188106 (OH)

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

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About NPI 1326866435

Nicole J. Moore, CDCA's National Provider Identifier is 1326866435, issued on Sep 27, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Painesville, OH. The record was last updated on Sep 27, 2024.