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

Madison Blaze Moore

Individual provider Counselor · NPI 1003499237

Madison Blaze Moore is a Counselor in Marietta, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

207D Colegate Dr
Marietta, OH 45750-2363
Phone: (740) 376-0930
Fax: (740) 376-0933
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C.2002225-TRNE (OH)

Record details

NPI number1003499237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address207d Colegate Dr, Marietta, OH 45750-2363

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