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Samantha Moore, CDCA
Addiction (Substance Use Disorder) Counselor in Dover, Ohio
NPI 1790210136

Samantha Moore is an Addiction (Substance Use Disorder) Counselor based in Dover, OH and is specialized in Addiction (Substance Use Disorder). Samantha Moore practices in Dover, OH and has the professional credentials of CDCA. The NPI Number for Samantha Moore is 1790210136 and holds a License No. CDCA.163556 (Ohio).

The current practice location address for Samantha Moore is 897 E Iron Ave, Dover, OH and can be reached out via phone at 330-343-5555 and via fax at 330-365-3765.

Location: 897 E Iron Ave, Dover, OH, 44622-2030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790210136
Provider Name
Samantha Moore
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
897 E Iron Ave, Dover, OH, 44622-2030
Phone Number
330-343-5555
Fax Number
330-365-3765
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
897 E Iron Ave
City
Dover
State
Ohio
Zip
44622-2030
Phone Number
330-343-5555
Fax Number
330-365-3765
person
Provider Business Mailing Address Details
Address
897 E Iron Ave
City
Dover
State
Ohio
Zip
44622-2030
Phone Number
330-343-5555
Fax Number
330-365-3765
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.163556 (Ohio)
Definition
Definition to come...
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