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Individual

CORIANDRE DAEVON MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA LPCC

Contact information

Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4371
(513) 636-7657
Mailing address
3333 BURNET AVE. ML 2023, CINCINNATI, OH 45229-3026
(513) 636-4371
(513) 636-7657

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1901205
OH
101YM0800X
Mental Health Counselor
C.1500066
OH
101YP2500X
Professional Counselor
E.1901205
OH

Other

Enumeration date
04/24/2018
Last updated
04/18/2023
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