Individual provider · Type 1 NPI

Tina Marie Moore-Boettcher

Mental Health Counselor · Tacoma, WA

NPI number 1053763904 Active

Practice location

1201 S Proctor St
Tacoma, WA 98405-2047

Fax (253) 759-7008

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG 60603619 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1053763904

Tina Marie Moore-Boettcher's National Provider Identifier is 1053763904, issued on Jul 4, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tacoma, WA. The record was last updated on Jul 4, 2016.