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Individual

GEANEEN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
6304 SALAMANDER RUN LN, CHARLOTTE, NC 28215-5084
(704) 561-0920
Mailing address
6304 SALAMANDER RUN LN, CHARLOTTE, NC 28215-5084

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/09/2010
Last updated
03/09/2010
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