Organization
ASCENSION THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DAWN MOORE LCAS LICDC (OWNER)
(304) 617-7859
Entity
Organization
Contact information
Practice address
1545 SHAKER RUN BLVD, LEBANON, OH 45036-4004
(304) 617-7859
Mailing address
1545 SHAKER RUN BLVD, LEBANON, OH 45036-4004
(304) 617-7859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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