Individual provider · Type 1 NPI

Mary Margaret Moore, CDP

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1497070965 Active

Practice location

1601 E Fourth Plain Blvd, Bldg 17, Ste 222
Vancouver, WA 98661-3753

Call (360) 397-8488 Map

Fax (360) 397-8494

Mailing address

PO Box 1845
Vancouver, WA 98668-1845

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00002617 (WA)

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

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About NPI 1497070965

Mary Margaret Moore, CDP's National Provider Identifier is 1497070965, issued on Mar 28, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Mar 28, 2010.