Justin Moore
Counselor in Durham, NC. Individual provider (NPI-1).
NPI number1073432712
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1073432712
- Entity type
- Individual (NPI-1)
- Name
- Justin Moore
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2026
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | A23043 | NC | Yes |
Practice location
3710 University DrDurham, NC 27707-6203
Phone 984-276-4659
Mailing address
3 Sugar Creek CtDurham, NC 27713-7106
Phone 423-782-8251
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