Individual provider · Type 1 NPI
Marquest Channell Carter Moore
Addiction (Substance Use Disorder) Counselor · Concord, NC
NPI number
1104780717
Active
Practice location
284 Executive Park Dr
Concord, NC 28025-1831
Fax (704) 939-1173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-31325 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104780717
Marquest Channell Carter Moore's National Provider Identifier is 1104780717, issued on Dec 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Concord, NC. The record was last updated on Dec 10, 2025.