Individual
CAROL ANN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WHITNEY DR, MILFORD, OH 45150-8402
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
(513) 694-0168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.161097
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.164695
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267540
—
OH
Enumeration date
11/29/2016
Last updated
11/12/2024
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