JASON MOORE

LOUISBURG, NC
NPI1114466299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-22354)
Enumeration Date2017-02-22
Last Update Date2017-02-22
Business Address
Mr. JASON MOORE
104 N MAIN ST # 200
LOUISBURG, NC 27549-2516
Phone number: 919-496-7781
Mailing Address
Mr. JASON MOORE
3533 CASTLEFIELD LN
FAYETTEVILLE, NC 28306-9677
Phone number: 910-431-0197
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