Individual
MS. KASAUNDRA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5513 MONROE RD, SUITE 204, CHARLOTTE, NC 28212-5503
(980) 239-4383
Mailing address
512 LINDSBORG TRL, MONROE, NC 28110-7356
(980) 239-4383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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