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Individual

MR. RICHARD MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAS-A, LPCA

Contact information

Practice address
284 EXECUTIVE PARK DR, SUITE100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR, SUITE100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23382
NC
101YP2500X
Professional Counselor
Primary
A12859
NC

Other

Enumeration date
01/29/2017
Last updated
05/19/2017
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