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Individual

CHRISTA JUNE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1907 11TH ST, PORTSMOUTH, OH 45662-4531
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7821
(513) 941-4999
(513) 694-0168

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.111413
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161432
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162665
OH
101YM0800X
Mental Health Counselor
QMHSPLUS3
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0283096
OH
Enumeration date
02/09/2018
Last updated
01/22/2026
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