Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON MOORE
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · LOUISBURG, NC
Registration Details
- NPI Number
- 1114466299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2017 (9.17910329574 yrs)
- Last Updated
- Feb 22, 2017
- License
-
LCAS-22354 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 N MAIN ST # 200LOUISBURG, NC, 275492516Browse NC providers · Browse ZIP 27549
- Phone
- 9194967781
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LOUISBURG, NC
| Name | Credential | NPI |
|---|---|---|
| MS. SHARON ELIZABETH GARRETT | LCAS, CCS | 1952456535 |
| JAMES WARD | CSAC | 1760767057 |
| MS. E MARIE BUIE | MA | 1689910192 |
| DEWAYNE BROADNEY | — | 1366832909 |
| ROBERT R KAMARA | MSW | 1548616626 |
| MRS. SANIECE L DAVIS | LCAS | 1376022970 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.