Samantha M Moore

NPI #1912780784 in Norwalk, Ohio

Provider Information

NPI Number: 1912780784
Entity Type: Individual
Name: Samantha M Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Aug 16, 2023
Last Updated: Aug 16, 2023

Practice Location

Address: 130 SHADY LANE DR
City: Norwalk
State: Ohio
ZIP Code: 44857-2710
Phone: (567) 743-7199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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