Individual
JANICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LCAS-P
Contact information
Practice address
3903 STERLING POINTE DR, UNIT PP9, WINTERVILLE, NC 28590-7033
(252) 258-3397
Mailing address
3903 STERLING POINTE DR, UNIT PP9, WINTERVILLE, NC 28590-7033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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