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Contact Information

JOHN P MOORE, L.M.H.C.,L.S.W.,M.A.
1770 SHILOH SPRINGS RD.
DAYTON, OH45426
 Phone: 937-367-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JOHN P MOORE · (Male)

NPI # 1790146595
Status Active
Credentials L.M.H.C.,L.S.W.,M.A.
Entity Individual
Enumeration date 03/08/2016
Last updated 03/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 33002117A
  • IN License # 39001063A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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