Individual
DIAMOND MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(333) 869-8263
Mailing address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(333) 869-8263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168055
OH
171M00000X
Case Manager/Care Coordinator
—
—
405300000X
Prevention Professional
161700
OH
Other
Enumeration date
06/27/2018
Last updated
07/02/2019
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