Individual provider · Type 1 NPI

Delores Regina Moore, LICDC

Addiction (Substance Use Disorder) Counselor · Maumee, OH

NPI number 1558452201 Active

Practice location

1655 Holland Rd Ste F
Maumee, OH 43537-1656

Call (833) 510-4357 Map

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

  • 2321 Warren St, Toledo, OH 43620-1320 · (419) 244-4824

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.161594 (OH)

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

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About NPI 1558452201

Delores Regina Moore, LICDC's National Provider Identifier is 1558452201, issued on Sep 27, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maumee, OH. The record was last updated on Jan 3, 2024.