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Individual
SOPHIA MOORE
Active
Individual
SOPHIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24951-A
NC
101YM0800X
Mental Health Counselor
Primary
S6959
NC
101YP2500X
Professional Counselor
0701006133
VA
101YP2500X
Professional Counselor
232
SC
101YP2500X
Professional Counselor
PRC14509
DC
Other
Enumeration date
02/14/2008
Last updated
03/07/2025
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