person
Stevie Nicole Moore, PEERSUPPORT
Peer Specialist in Dayton, Ohio
NPI 1922788520

Stevie Nicole Moore is a Peer Specialist based in Fairborn, OH. Stevie Nicole Moore practices in Dayton, OH and has the professional credentials of PEERSUPPORT. The NPI Number for Stevie Nicole Moore is 1922788520 and holds a License No. APS.004087 (Ohio).

The current practice location address for Stevie Nicole Moore is 4977 Northcutt Pl, Dayton, OH and can be reached out via phone at 937-387-6395.

Location: 4977 Northcutt Pl, Dayton, OH, 45324-2725
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Provider Profile Details
NPI Number
1922788520
Provider Name
Stevie Nicole Moore
Credential
PEERSUPPORT
Provider Entity Type
Individual
Gender
Female
Address
4977 Northcutt Pl, Dayton, OH, 45324-2725
Phone Number
937-387-6395
Fax Number
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4977 Northcutt Pl
City
State
Zip
45414-3839
Phone Number
937-387-6395
Fax Number
person
Provider Business Mailing Address Details
Address
4977 Northcutt Pl
City
State
Zip
45414-3839
Phone Number
937-387-6395
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
APS.004087 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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