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General NPI Number Information
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NPI Number | 1487169454
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Entity Type | Individual
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Provider Name | CHELSEA MOORE LPCC,CRC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 7266 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45459-4207
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Country | US
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Telephone | 937-903-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 7266 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45459-4207
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Country | US
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Telephone | 937-903-0280
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2204533
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2505803
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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