Individual
AMANDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
(740) 935-8962
Mailing address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
(740) 935-8962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188478
OH
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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