Individual provider · Type 1 NPI

Stevie Nicole Moore, PEER SUPPORT

Peer Specialist · Dayton, OH

NPI number 1922788520 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Mailing address

2215 Grierson Pl
Fairborn, OH 45324-2725

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.004087 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1922788520

Stevie Nicole Moore, PEER SUPPORT's National Provider Identifier is 1922788520, issued on Jul 19, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dayton, OH. The record was last updated on Jul 31, 2023.