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Jonathan Brooks Moore
Student in an Organized Health Care Education/Training Program in Spokane, Washington
NPI 1124618392

Jonathan Brooks Moore is a Student in an Organized Health Care Education/Training Program based in Spokane, WA. Jonathan Brooks Moore practices in Spokane, WA. The NPI Number for Jonathan Brooks Moore is 1124618392 and holds a License No. CG61137439 (Washington).

The current practice location address for Jonathan Brooks Moore is 107 S Division St, Spokane, WA and can be reached out via phone at 509-838-4651.

Location: 107 S Division St, Spokane, WA, 99202-1510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124618392
Provider Name
Jonathan Brooks Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
107 S Division St, Spokane, WA, 99202-1510
Phone Number
509-838-4651
Fax Number
Provider Enumeration Date
01/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
107 S Division St
City
Spokane
State
Washington
Zip
99202-1510
Phone Number
509-838-4651
Fax Number
person
Provider Business Mailing Address Details
Address
107 S Division St
City
Spokane
State
Washington
Zip
99202-1510
Phone Number
509-838-4651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CG61137439 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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