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Marshan M Moultry
Mental Health Counselor in Seattle, Washington
NPI 1023481504

Marshan M Moultry is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Marshan M Moultry practices in Seattle, WA. The NPI Number for Marshan M Moultry is 1023481504 and holds a License No. CO60539426 (Washington).

The current practice location address for Marshan M Moultry is 1100 Virginia St Suite 210, Seattle, WA and can be reached out via phone at 206-470-3856.

Location: 1100 Virginia St Suite 210, Seattle, WA, 98101
person
Provider Profile Details
NPI Number
1023481504
Provider Name
Marshan M Moultry
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 Virginia St Suite 210, Seattle, WA, 98101
Phone Number
206-470-3856
Fax Number
Provider Enumeration Date
11/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 Virginia St Suite 210
City
State
Zip
98101
Phone Number
206-470-3856
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Virginia St Suite 210
City
State
Zip
98101
Phone Number
206-470-3856
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MG60582705 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CO60539426 (Washington)
Definition
Definition to come...
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