Jason Shane Moore, LCDC
Jason Shane Moore, LCDC is an Addiction (Substance Use Disorder) Counselor in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2026
Practice location Address checks out
3110 H G Mosley Pkwy Ste 104Longview, TX 75605-2941
Phone: (903) 758-2471
Fax: (903) 234-1639
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 17751 (TX) |
|---|
Record details
| NPI number | 1811839111 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDC |
| Sole proprietor | Yes |
| NPI enumerated | April 7, 2026 |
| Last updated in NPPES | April 7, 2026 |
| Certification date | April 7, 2026 |
| Mailing address | 107 Woodbine Pl, Longview, TX 75601-2912 |
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