Individual
CATHERINE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1127 CARNEGIE AVE, CLEVELAND, OH 44115-2805
(216) 861-4246
(216) 861-1156
Mailing address
1127 CARNEGIE AVE, CLEVELAND, OH 44115-2805
(216) 861-4246
(216) 861-1156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.166183
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098
—
OH
Enumeration date
04/25/2018
Last updated
04/25/2018
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