Individual provider · Type 1 NPI
Latonia Lynn Moore
Addiction (Substance Use Disorder) Counselor · Kent, WA
NPI number
1750167805
Active
Practice location
9624 S 252nd St Apt E202
Kent, WA 98030-6944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO61384082 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750167805
Latonia Lynn Moore's National Provider Identifier is 1750167805, issued on Sep 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kent, WA. The record was last updated on Sep 5, 2023.