Individual provider · Type 1 NPI

Kasaundra Moody

Addiction (Substance Use Disorder) Counselor · Charlotte, NC

NPI number 1306288626 Active

Practice location

5513 Monroe Rd, Suite 204
Charlotte, NC 28212-5503

Mailing address

512 Lindsborg Trl
Monroe, NC 28110-7356

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
School Counselor 101YS0200XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306288626

Kasaundra Moody's National Provider Identifier is 1306288626, issued on Jul 28, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Jul 28, 2013.