Individual provider · Type 1 NPI
John Parker Moore, L.M.H.C., L.S.W., M.A.
Mental Health Counselor · Dayton, OH
NPI number
1790146595
Active
Practice location
1770 Shiloh Springs Rd.
Dayton, OH 45426
Mailing address
1770 Shiloh Springs Rd
Dayton, OH 45426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 39001063A (IN) |
| Mental Health Counselor Primary | 101YM0800X | 39001063A (IN) |
| Social Worker | 104100000X | 33002117A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1790146595
John Parker Moore, L.M.H.C., L.S.W., M.A.'s National Provider Identifier is 1790146595, issued on Mar 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Mar 8, 2016.