Individual provider · Type 1 NPI
Leroy Moore Iii
Counselor · Lakewood, WA
NPI number
1609382381
Active
Practice location
8811 S. Tacoma Way, 106
Lakewood, WA 98499
Mailing address
8811 S Tacoma Way
Lakewood, WA 98499-4595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | CG60720520 (WA) |
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 1609382381
Leroy Moore Iii's National Provider Identifier is 1609382381, issued on Dec 18, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lakewood, WA. The record was last updated on Dec 18, 2017.