Individual
MS. ALICIA SHEREESE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
9027 GROUSE RUN LN, FAYETTEVILLE, NC 28314-6120
(910) 717-6019
Mailing address
9027 GROUSE RUN LN, FAYETTEVILLE, NC 28314-6120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2745
NC
101YM0800X
Mental Health Counselor
Primary
S9863
NC
Other
Enumeration date
03/20/2013
Last updated
11/15/2024
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