Individual
DR. E JEAN HERNDON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.MIN., LCASA
Contact information
Practice address
117 ROSE BUD DR., DURHAM, NC 27704
(919) 475-8693
Mailing address
PO BOX 2894, DURHAM, NC 27715-2894
(919) 475-8693
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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