Individual provider · Type 1 NPI

Kimberly Moore, CDCA

Addiction (Substance Use Disorder) Counselor · Vandalia, OH

NPI number 1841964111 Active

Practice location

705 S Brown School Rd
Vandalia, OH 45377-3113

Call (937) 890-5400 Map

Fax (937) 890-5401

Mailing address

100 Elmwood Park Dr Ste 201
Dayton, OH 45449-5402

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.177003 (OH)

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

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About NPI 1841964111

Kimberly Moore, CDCA's National Provider Identifier is 1841964111, issued on Aug 2, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vandalia, OH. The record was last updated on Aug 2, 2021.