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Coriandre Daevon Moore, MALPCC
Counselor in Cincinnati, Ohio
NPI 1629566864

Coriandre Daevon Moore is a Counselor based in Cincinnati, OH. Coriandre Daevon Moore practices in Cincinnati, OH and has the professional credentials of MALPCC. The NPI Number for Coriandre Daevon Moore is 1629566864 and holds a License No. C.1500066 (Ohio).

The current practice location address for Coriandre Daevon Moore is 3333 Burnet Ave, Cincinnati, OH and can be reached out via phone at 513-636-4371 and via fax at 513-636-7657.

Location: 3333 Burnet Ave, Cincinnati, OH, 45229-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629566864
Provider Name
Coriandre Daevon Moore
Credential
MALPCC
Provider Entity Type
Individual
Gender
Male
Address
3333 Burnet Ave, Cincinnati, OH, 45229-3026
Phone Number
513-636-4371
Fax Number
513-636-7657
Provider Enumeration Date
04/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3333 Burnet Ave
City
Cincinnati
State
Ohio
Zip
45229-3026
Phone Number
513-636-4371
Fax Number
513-636-7657
person
Provider Business Mailing Address Details
Address
3333 Burnet Ave
City
Cincinnati
State
Ohio
Zip
45229-3026
Phone Number
513-636-4371
Fax Number
513-636-7657
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
E.1901205 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
E.1901205 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C.1500066 (Ohio)
Definition
Definition to come...
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