Individual
CHERRIA MIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8025 N POINT BLVD STE 141, WINSTON SALEM, NC 27106-3753
(336) 546-5003
Mailing address
8025 N POINT BLVD STE 141, WINSTON SALEM, NC 27106-3753
(336) 546-5003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/06/2012
Last updated
07/03/2023
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