Individual
NICOLE YVETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
301 N ELM ST STE 638, GREENSBORO, NC 27401-2083
(336) 662-7724
Mailing address
301 N ELM ST STE 638, GREENSBORO, NC 27401-2083
(336) 662-7724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30607
NC
101YM0800X
Mental Health Counselor
A21731
NC
Other
Enumeration date
07/21/2021
Last updated
06/02/2026
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