Individual provider · Type 1 NPI

Sophia Moore

Mental Health Counselor · Raeford, NC

NPI number 1104094978 Active

Practice location

168 Bennington Dr
Raeford, NC 28376-6559

Call (910) 263-6219 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X232 (SC)
Professional Counselor 101YP2500XPRC14509 (DC)
Professional Counselor 101YP2500X0701006133 (VA)
Addiction (Substance Use Disorder) Counselor 101YA0400X24951-A (NC)
Mental Health Counselor Primary 101YM0800XS6959 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1104094978

Sophia Moore's National Provider Identifier is 1104094978, issued on Feb 14, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raeford, NC. The record was last updated on Mar 7, 2025.