Cynthia Sue Moore, MSSA, LSW, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Beloit, OH
NPI 1831765841 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1831765841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.171707 (OH)
- Practice address
- 16788 State Route 62
Beloit, OH 44609-9268 - Phone
- (330) 206-7040
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.171707 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.171707 | OH | Yes |
Addresses
Primary practice location
16788 State Route 62
Beloit, OH 44609-9268
Mailing address
16788 State Route 62
Beloit, OH 44609-9268
Phone (330) 206-7040
Other providers in Beloit, OH
- Sandra Kay Jones
- Allison Anne Krupko
- Marco R. Corallo, D.O., LLC
- Arlena Dawn McCoy
- Danielle Marie McLaughlin
- Connie Lee Rogers
- Leslee Ruszkowski
- Jennifer Margaret Schenk
- Holly Schroeder
- Scott Family Ventures
All providers in Beloit, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.