Individual
ADELE L JOHNSON-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICDC
Contact information
Practice address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
Mailing address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
011210
OH
101YM0800X
Mental Health Counselor
011210
OH
Other
Enumeration date
07/06/2016
Last updated
04/25/2023
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