Individual
DR. CHRISTA JANE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CCS, LCSWA
Contact information
Practice address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(276) 455-0842
Mailing address
CHRISTA MOORE, CENTER FOR EMOTIONAL HEALTH, WISE, VA 24293
(276) 455-0842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P018507
LCSWA
NC
Enumeration date
12/13/2022
Last updated
12/13/2022
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