Individual provider · Type 1 NPI

Teddy Moore, CDCA.183837

Addiction (Substance Use Disorder) Counselor · Coal Grove, OH

NPI number 1891421772 Active

Practice location

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Call (740) 237-4981 Map

Fax (877) 325-2816

Other practice locations

  • 35 Private Drive 1122 Ste A, Ironton, OH 45638-9152 · (740) 237-4981
  • 1141 County Road 24, Ironton, OH 45638-3186 · (740) 237-4981

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.183837 (OH)
Peer Specialist 175T00000XAPS.004849 (OH)

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

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About NPI 1891421772

Teddy Moore, CDCA.183837's National Provider Identifier is 1891421772, issued on Jul 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coal Grove, OH. The record was last updated on Mar 11, 2026.