Individual
CYNTHIA SUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, LSW, CDCA
Contact information
Practice address
16788 STATE ROUTE 62, BELOIT, OH 44609-9268
(330) 206-7040
Mailing address
16788 STATE ROUTE 62, BELOIT, OH 44609-9268
(330) 206-7040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171707
OH
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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