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

Mr. Jason Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114466299

Mr. Jason Moore is an Addiction (Substance Use Disorder) Counselor in Louisburg, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017

Practice location Address checks out

104 N Main St # 200
Louisburg, NC 27549-2516
Phone: (919) 496-7781
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-22354 (NC)

Record details

NPI number1114466299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017

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