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

Nicole J. Moore, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1326866435

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

Licensed in
OH
In the registry since
2024

Practice location Address checks out

134 S Saint Clair St
Painesville, OH 44077-3421
Phone: (440) 255-0678
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.188106 (OH)

Record details

NPI number1326866435
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedSeptember 27, 2024
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address29680 Phillips Ave, Wickliffe, OH 44092-2210

Other providers in Painesville