Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marquest Channell Carter Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104780717

Marquest Channell Carter Moore is an Addiction (Substance Use Disorder) Counselor in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

284 Executive Park Dr
Concord, NC 28025-1831
Phone: (704) 939-1100
Fax: (704) 939-1173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-31325 (NC)

Record details

NPI number1104780717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

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