Individual
EVA MICHELLE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORTER
Contact information
Practice address
1199 S 2ND ST, COSHOCTON, OH 43812-1920
(234) 354-9089
Mailing address
203 S 18TH ST, COSHOCTON, OH 43812-1831
(234) 354-9089
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.006553
OH
Other
Enumeration date
11/07/2025
Last updated
11/13/2025
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