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Kimberly Moore, CDCA
Addiction (Substance Use Disorder) Counselor in Vandalia, Ohio
NPI 1841964111

Kimberly Moore is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Kimberly Moore practices in Vandalia, OH and has the professional credentials of CDCA. The NPI Number for Kimberly Moore is 1841964111 and holds a License No. CDCA.177003 (Ohio).

The current practice location address for Kimberly Moore is 705 S Brown School Rd, Vandalia, OH and can be reached out via phone at 937-890-5400 and via fax at 937-890-5401.

Location: 705 S Brown School Rd, Vandalia, OH, 45449-5402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841964111
Provider Name
Kimberly Moore
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
705 S Brown School Rd, Vandalia, OH, 45449-5402
Phone Number
937-890-5400
Fax Number
937-890-5401
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
705 S Brown School Rd
City
Vandalia
State
Ohio
Zip
45377-3113
Phone Number
937-890-5400
Fax Number
937-890-5401
person
Provider Business Mailing Address Details
Address
705 S Brown School Rd
City
Vandalia
State
Ohio
Zip
45377-3113
Phone Number
937-890-5400
Fax Number
937-890-5401
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.177003 (Ohio)
Definition
Definition to come...
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