Individual
CRYSTAL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5960 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210
(980) 226-2800
Mailing address
3540 TORINGDON WAY STE 200, CHARLOTTE, NC 28277-4650
(704) 575-7816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11001
NC
Other
Enumeration date
08/06/2014
Last updated
05/02/2024
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