Individual provider · Type 1 NPI
Jason Moore
Addiction (Substance Use Disorder) Counselor · Louisburg, NC
NPI number
1114466299
Active
Practice location
104 N Main St # 200
Louisburg, NC 27549-2516
Mailing address
3533 Castlefield Ln
Fayetteville, NC 28306-9677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-22354 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1114466299
Jason Moore's National Provider Identifier is 1114466299, issued on Feb 22, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisburg, NC. The record was last updated on Feb 22, 2017.