Roderick Moore, PA/ADMIN ASST.
NPI #1942805734 in Painesville, Ohio
Provider Information
- NPI Number
- 1942805734
- Entity Type
- Individual
- Name
- Roderick Moore, PA/ADMIN ASST.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- PA/ADMIN ASST.
- Enumeration Date
- Dec 1, 2020
- Last Updated
- Dec 1, 2020
Practice Location
- Address
- 796 OAK ST
- City
- Painesville
- State
- Ohio
- ZIP Code
- 44077-4335
- Phone
- (440) 391-7248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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