Marissa Moore, LPCC

NPI #1073027678 in Sandusky, Ohio

Provider Information

NPI Number: 1073027678
Entity Type: Individual
Name: Marissa Moore, LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPCC
Enumeration Date: Nov 20, 2017
Last Updated: Dec 14, 2020

Practice Location

Address: 1925 HAYES AVE
City: Sandusky
State: Ohio
ZIP Code: 44870
Phone: (419) 557-5177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Case Manager/Care Coordinator	171M00000X
Counselor - Professional — Professional	101YP2500X	Primary

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