Individual
MRS. SARAH JEAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-3521
(513) 246-2080
Mailing address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
(513) 246-2080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.194872
OH
175T00000X
Peer Specialist
Primary
APS.005868
OH
Other
Enumeration date
12/30/2024
Last updated
02/11/2026
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