Doctor Name: | ANETHIA LACHER MOORE |
NPI Number: | 1447568696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 108 E Timberland Dr Grover, NC - 280738544 |
Business Phone Number: | 7046047430 |
Business Fax Number: | 7044574172 |
Mailing Address: | 108 E Timberland Dr, GROVER |
State: | NC |
Postal Code: | 280738544 |
Phone Number: | 7046047430 |
Fax Number: | 7044574172 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 10/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |