Individual
MR. CHARLES MAURICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LPC,LCAS,NCC,ICAA
Contact information
Practice address
1516 KELLY CT, CONOVER, NC 28613-7801
(828) 441-0115
Mailing address
1516 KELLY CT, CONOVER, NC 28613-7801
(828) 441-0115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
386
NC
101YP2500X
Professional Counselor
1086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103410
—
NC
Enumeration date
05/07/2007
Last updated
09/11/2025
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