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Terry Moore
Addiction (Substance Use Disorder) Counselor in Xenia, Ohio
NPI 1578903357

Terry Moore is an Addiction (Substance Use Disorder) Counselor based in Xenia, OH and is specialized in Addiction (Substance Use Disorder). Terry Moore practices in Xenia, OH. The NPI Number for Terry Moore is 1578903357 and holds a License No. 120982 (Ohio).

The current practice location address for Terry Moore is 452 W Market St, Xenia, OH and can be reached out via phone at 937-376-8700 and via fax at 937-376-8725.

Location: 452 W Market St, Xenia, OH, 45385-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578903357
Provider Name
Terry Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
452 W Market St, Xenia, OH, 45385-2815
Phone Number
937-376-8700
Fax Number
937-376-8725
Provider Enumeration Date
06/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
452 W Market St
City
Xenia
State
Ohio
Zip
45385-2815
Phone Number
937-376-8700
Fax Number
937-376-8725
person
Provider Business Mailing Address Details
Address
452 W Market St
City
Xenia
State
Ohio
Zip
45385-2815
Phone Number
937-376-8700
Fax Number
937-376-8725
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
120982 (Ohio)
Definition
Definition to come...
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