Individual provider · Type 1 NPI

Gail Moore, CP00004745

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1245761378 Active

Practice location

9930 Evergreen Way, Building Z150
Everett, WA 98204-3883

Call (425) 347-5121 Map

Fax (425) 353-6425

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP 00004745 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245761378

Gail Moore, CP00004745's National Provider Identifier is 1245761378, issued on Mar 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Mar 21, 2017.