Individual provider · Type 1 NPI

Brennon Patrick Moore, CADC-II, LPC, LMHC

Mental Health Counselor · Bend, OR

NPI number 1023460102 Active

Practice location

19570 Amber Meadow Dr Ste 120
Bend, OR 97702-3530

Call (541) 980-7542 Map

Mailing address

2998 NE Rainier Dr
Bend, OR 97701-7763

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC3918 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1023460102

Brennon Patrick Moore, CADC-II, LPC, LMHC's National Provider Identifier is 1023460102, issued on Jul 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Feb 20, 2026.