Individual
JAMAL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2345 DORR ST, TOLEDO, OH 43607-3423
(419) 407-5342
Mailing address
316 N MICHIGAN ST, TOLEDO, OH 43604-5667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171340
OH
171M00000X
Case Manager/Care Coordinator
QMHS
OH
Other
Enumeration date
12/10/2019
Last updated
02/29/2024
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