Individual provider · Type 1 NPI

Mia D. Moreno

Counselor · Olympia, WA

NPI number 1285506824 Active

Practice location

5518 Tri Lake Dr SE
Olympia, WA 98513-6001

Call (360) 763-5828 Map

Mailing address

670 Woodland Square Loop SE Ste 301
Lacey, WA 98503-1091

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1285506824

Mia D. Moreno's National Provider Identifier is 1285506824, issued on Sep 23, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Olympia, WA. The record was last updated on Sep 23, 2025.