Individual
DANIELLE NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC-A, LCAS-A
Contact information
Practice address
1315 E SUNSET DR STE 230, MONROE, NC 28112-4324
(704) 900-0553
Mailing address
3326 SISKEY PKWY STE 300, MATTHEWS, NC 28105-3231
(908) 336-1101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30315
NC
101YM0800X
Mental Health Counselor
A21263
NC
Other
Enumeration date
08/04/2025
Last updated
03/16/2026
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