Shari Lynn Moore
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Danville, OH
NPI 1972223089 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1972223089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.180286 (OH)
- Practice address
- 304 S Market Street
Danville, OH 43014 - Phone
- (567) 560-3588
- NPI assigned
- Aug 30, 2022
- 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.180286 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.180286 | OH | Yes |
Addresses
Primary practice location
304 S Market Street
Danville, OH 43014
Mailing address
24802 Weber Rd
Howard, OH 43028-9240
Phone (740) 975-0457
Other providers in Danville, OH
- Amber Luikart
- Kimberly McCormick
- Rebecca C. Metcalf
- Elizabeth A Meyer
- Sheridan Nicole Mitchell
- Rachel Myers
- Brandy Nichole Nissley
- Samba Norris
- Laura Payne
- Ashley Violet Presley
All providers in Danville, 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 Aug 30, 2022. 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.