Individual
SHAUNA K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
130 CARBONTON RD, SANFORD, NC 27330-4009
(919) 774-6522
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1110
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22993
NC
106H00000X
Marriage & Family Therapist
1645
NC
Other
Enumeration date
01/27/2010
Last updated
09/18/2019
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