Individual
ANETHIA LACHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 E TIMBERLAND DR, GROVER, NC 28073-8544
(704) 604-7430
(704) 457-4172
Mailing address
108 E TIMBERLAND DR, GROVER, NC 28073-8544
(704) 418-8525
(704) 457-4172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-20928
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
RBT-25-431735
NC
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
RBT-18-48621
NC
Other
Enumeration date
09/22/2010
Last updated
06/25/2025
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