Individual
MARCIA S MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
417 N. BRIDGE ST, BLOUNTS CREEK, NC 27889
(252) 494-2062
(252) 362-0336
Mailing address
417 N. BRIDGE ST, BLOUNTS CREEK, NC 27889
(252) 494-2062
(252) 362-0336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27879
NC
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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