Individual provider · Type 1 NPI

Maximo Moreno Iii, CO 60653500

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1639616220 Active

Practice location

5007 Claremont Way
Everett, WA 98203-3321

Call (425) 609-5504 Map

Fax (425) 609-5506

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1174784185 (WA)

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

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About NPI 1639616220

Maximo Moreno Iii, CO 60653500's National Provider Identifier is 1639616220, issued on Jan 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Jan 20, 2017.