Mary Moore, LPCC/LICDC
NPI #1083162747 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1083162747
- Entity Type
- Individual
- Name
- Mary Moore, LPCC/LICDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC/LICDC
- Enumeration Date
- Sep 12, 2016
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 446 MORGAN ST
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45206-2348
- Phone
- (513) 834-7063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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