Individual provider · Type 1 NPI

Yancy Moore, CDP

Addiction (Substance Use Disorder) Counselor · Aberdeen, WA

NPI number 1982158481 Active

Practice location

2700 Simpson Avenue, Suite 101
Aberdeen, WA 98520

Call (360) 612-0012 Map

Fax (360) 218-5945

Mailing address

921 14th Avenue
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60186868 (WA)

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

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About NPI 1982158481

Yancy Moore, CDP's National Provider Identifier is 1982158481, issued on Aug 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aberdeen, WA. The record was last updated on May 1, 2018.