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Mr. Jason Moore
Addiction (Substance Use Disorder) Counselor in Louisburg, North Carolina
NPI 1114466299

Jason Moore is an Addiction (Substance Use Disorder) Counselor based in Fayetteville, NC and is specialized in Addiction (Substance Use Disorder). Jason Moore practices in Louisburg, NC. The NPI Number for Jason Moore is 1114466299 and holds a License No. LCAS-22354 (North Carolina).

The current practice location address for Jason Moore is 104 N Main St # 200, Louisburg, NC and can be reached out via phone at 919-496-7781.

Location: 104 N Main St # 200, Louisburg, NC, 28306-9677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114466299
Provider Name
Jason Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
104 N Main St # 200, Louisburg, NC, 28306-9677
Phone Number
919-496-7781
Fax Number
Provider Enumeration Date
02/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 N Main St # 200
City
Louisburg
State
North Carolina
Zip
27549-2516
Phone Number
919-496-7781
Fax Number
person
Provider Business Mailing Address Details
Address
104 N Main St # 200
City
Louisburg
State
North Carolina
Zip
27549-2516
Phone Number
919-496-7781
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCAS-22354 (North Carolina)
Definition
Definition to come...
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