person
Licia Monique Emanuel-moffett, CDPT
Addiction (Substance Use Disorder) Counselor in Longview, Washington
NPI 1184112294

Licia Monique Emanuel-moffett is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Licia Monique Emanuel-moffett practices in Longview, WA and has the professional credentials of CDPT. The NPI Number for Licia Monique Emanuel-moffett is 1184112294 and holds a License No. 60811079 (Washington).

The current practice location address for Licia Monique Emanuel-moffett is 720 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-423-5086.

Location: 720 14Th Ave, Longview, WA, 98632-2316
person
Provider Profile Details
NPI Number
1184112294
Provider Name
Licia Monique Emanuel-moffett
Credential
CDPT
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave, Longview, WA, 98632-2316
Phone Number
360-423-0203
Fax Number
360-423-5086
Provider Enumeration Date
04/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-423-5086
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-423-5086
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
60811079 (Washington)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.