Individual provider · Type 1 NPI

Martina S. Moore, MA

Professional Counselor · Euclid, OH

NPI number 1720349368 Active

Practice location

22639 Euclid Ave
Euclid, OH 44117-1622

Fax (216) 404-1901

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X975996 (OH)
Professional Counselor Primary 101YP2500XE.1700264-SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1720349368

Martina S. Moore, MA's National Provider Identifier is 1720349368, issued on May 30, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Euclid, OH. The record was last updated on Dec 15, 2022.