Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coriandre Daevon Moore, MALPCC

Individual provider Mental Health Counselor · NPI 1629566864

Coriandre Daevon Moore, MALPCC is a Mental Health Counselor in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
3

Practice location Address checks out

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone: (513) 636-4371
Fax: (513) 636-7657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence E.1901205 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence C.1500066 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence E.1901205 (OH)

Record details

NPI number1629566864
Entity typeIndividual (Type 1)
GenderMale
Credentials MALPCC
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESApril 18, 2023
Certification dateApril 12, 2023

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