Individual
ANTHONY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
809 COSHOCTON AVE, MOUNT VERNON, OH 43050-1900
(866) 534-2639
(800) 480-7578
Mailing address
357 W WILLIAM ST, DELAWARE, OH 43015-2449
(614) 719-9930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.194348
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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