Individual
MRS. CHARLOTTE ANN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
11814 US 64 A, SPRING HOPE, NC 27882
(252) 903-5594
Mailing address
11814 US 64 A, SPRING HOPE, NC 27882
(252) 903-5594
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24497
NC
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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