Individual
GINA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3167 FULTON RD, CLEVELAND, OH 44109-1465
(216) 283-4400
Mailing address
3167 FULTON RD, CLEVELAND, OH 44109-1465
(216) 283-4400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1100459
OH
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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