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General NPI Number Information
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NPI Number | 1720945793
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Entity Type | Individual
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Provider Name | YOLONDA SHEVON MOORE MS, LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 3329F WRIGHTSVILLE AVE
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City | WILMINGTON
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State | NC
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Zip | 28403-4115
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Country | US
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Telephone | 910-409-2759
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Fax |
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Provider Business Mailing Address
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Address Line | 320 ASCEND LOOP APT 204
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-0210
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A21571
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A21571
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License Number State | NC
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