Individual
KAMREN MOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LCSWA
Contact information
Practice address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-3012
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29681
NC
1041C0700X
Clinical Social Worker
P020259
NC
Other
Enumeration date
02/08/2017
Last updated
01/23/2026
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