Individual
JONATHAN T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
1243 E DIXON BLVD STE 4, SHELBY, NC 28152-6893
(704) 487-4000
Mailing address
1243 E DIXON BLVD STE 4, SHELBY, NC 28152-6893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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