Moore, Charles Maurice

Moore, Charles Maurice is an sole proprietor health care provider with primary practice located at 1516 Kelly Ct , Conover NC 28613-7801. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Moore, Charles Maurice can be contacted via phone (828) 441-0115.

Contact Information

Primary practice address
1516 Kelly Ct Conover NC 28613-7801
Phone: (828) 441-0115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 386 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 1086 North Carolina

Profile Details

NPI number 1346452620
LBN Legal business name Moore, Charles Maurice
Credentials MA,LPC,LCAS,NCC,ICAA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346452620 NPPES
North Carolina MEDICAID 6103410

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