Individual provider · Type 1 NPI

Kahlil Ethan Wilson-Moore

Counselor · Spokane, WA

NPI number 1972170306 Active

Practice location

107 S Division St
Spokane, WA 99202-1510

Call (509) 838-4651 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Counselor Primary 101Y00000XGC61187844 (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 1972170306

Kahlil Ethan Wilson-Moore's National Provider Identifier is 1972170306, issued on Jun 4, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spokane, WA. The record was last updated on Jun 24, 2021.