Individual provider · Type 1 NPI
Charles Maurice Moore, MA, LPC, LCAS, NCC, ICAA
Addiction (Substance Use Disorder) Counselor · Conover, NC
NPI number
1346452620
Active
Practice location
1516 Kelly Ct
Conover, NC 28613-7801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 386 (NC) |
| Professional Counselor | 101YP2500X | 1086 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1346452620
Charles Maurice Moore, MA, LPC, LCAS, NCC, ICAA's National Provider Identifier is 1346452620, issued on May 7, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Conover, NC. The record was last updated on Sep 11, 2025.