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

Holly Moore, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063169431

Holly Moore, CDCA is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (937) 387-6395
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.179588 (OH)

Record details

NPI number1063169431
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address1221 Spinning Rd, Dayton, OH 45432-1653

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