Individual provider · Type 1 NPI

Ryan Moore, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1669096459 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Mailing address

25 Virginia Ave
Dayton, OH 45410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA173645 (OH)

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

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About NPI 1669096459

Ryan Moore, CDCA's National Provider Identifier is 1669096459, issued on Jun 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jun 8, 2020.