| Madison Blaze Moore, | |
|
207d Colegate Dr, Marietta, OH 45750-2363 | |
| (740) 376-0930 | |
| (740) 376-0933 |
| Full Name | Madison Blaze Moore |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 207d Colegate Dr, Marietta, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003499237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C.2002225-TRNE (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Blaze Moore, 207d Colegate Dr, Marietta, OH 45750-2363 Ph: (740) 376-0930 | Madison Blaze Moore, 207d Colegate Dr, Marietta, OH 45750-2363 Ph: (740) 376-0930 |
David J. Kosko, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Colegate Dr, Marietta, OH 45750 Phone: 740-376-0930 Fax: 740-376-0933 | |
Erin S Godfrey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207d Colegate Dr, Marietta, OH 45750 Phone: 740-376-0930 Fax: 740-376-0933 | |
Mrs. Mallory Olivia Bonar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28407 State Route 7, Marietta, OH 45750 Phone: 740-371-5476 | |
Micayla Lyons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 Putnam St Ste B, Marietta, OH 45750 Phone: 740-400-0213 | |
Joni Hood, Counselor Medicare: Medicare Enrolled Practice Location: 207d Colegate Dr, Marietta, OH 45750 Phone: 740-376-0930 | |
Taylor Lambert, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 27750 Oh-7, Marietta, OH 45750 Phone: 419-889-1928 |