Individual
NICOLE YVETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
3800 ARCO CORPORATE DR STE 150, CHARLOTTE, NC 28273-4396
(336) 662-7724
Mailing address
3800 ARCO CORPORATE DR STE 150, CHARLOTTE, NC 28273-4396
(336) 662-7724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30607
NC
Other
Enumeration date
07/21/2021
Last updated
02/26/2025
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