Individual
CAROL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 MEADOWVIEW DR, SUITE 5, DANVILLE, VA 24541-7351
(434) 685-1570
Mailing address
1555 MEADOWVIEW DR, SUITE 5, DANVILLE, VA 24541-7351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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