TRACY J MOORE

CHARLOTTE, NC
NPI1558614677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-15519)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: NC  LCAS-15519)
171M00000X Case Manager/Care Coordinator
(Licence: NC  LCAS-15519)
172V00000X Community Health Worker
(Licence: NC  LCAS-15519)
1041C0700X Social Worker, Clinical
(Licence: NC  P007403)
101Y00000X Counselor
(Licence: NC  LCAS-15519)
Enumeration Date2012-10-26
Last Update Date2016-09-28
Business Address
-- TRACY J MOORE LCAS-A
5500 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212-8856
Phone number: 704-537-5760
Mailing Address
-- TRACY J MOORE LCAS-A
5500 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212-8856
Phone number: 704-537-5760