Individual
BOBBI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 E CHESTNUT ST, MOUNT VERNON, OH 43050-3404
(740) 326-9255
Mailing address
213 E CHESTNUT ST, MOUNT VERNON, OH 43050-3404
(740) 326-9255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161395
OH
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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