Individual provider · Type 1 NPI

Kelly Anne Moen

Marriage & Family Therapist · Vancouver, WA

NPI number 1255050704 Active

Practice location

1404 NE 134th St Ste 290
Vancouver, WA 98685-2799

Call (360) 606-9099 Map

Mailing address

PO Box 56572
Portland, OR 97238-6572

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	LF70068506 (WA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1255050704

Kelly Anne Moen's National Provider Identifier is 1255050704, issued on Aug 26, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 14, 2026.