Individual
MR. GREGORY JOHN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, LCAS
Contact information
Practice address
301 N 2ND STREET, MEBANE, NC 27302
(919) 433-7115
Mailing address
301 N 2ND STREET, MEBANE, NC 27302
(919) 433-7115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2547
NC
101YP2500X
Professional Counselor
Primary
8103
NC
Other
Enumeration date
10/23/2013
Last updated
03/20/2025
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