Individual provider · Type 1 NPI

Michelle Moore

Mental Health Counselor · Vancouver, WA

NPI number 1669143012 Active

Practice location

811 NE 112th Ave
Vancouver, WA 98684-5115

Mailing address

3321 SE Woodburn Rd
Washougal, WA 98671-8172

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60990402 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1669143012

Michelle Moore's National Provider Identifier is 1669143012, issued on Sep 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Sep 24, 2021.