Individual provider · Type 1 NPI

Amanda Marie Moore

Mental Health Counselor · Colville, WA

NPI number 1639556848 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Fax (509) 684-5286

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSC60160716 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1639556848

Amanda Marie Moore's National Provider Identifier is 1639556848, issued on Apr 27, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colville, WA. The record was last updated on Apr 27, 2015.