person
Mrs. Lisa Leah Moore, CDP
Addiction (Substance Use Disorder) Counselor in Selah, Washington
NPI 1265909865

Lisa Leah Moore is an Addiction (Substance Use Disorder) Counselor based in Selah, WA and is specialized in Addiction (Substance Use Disorder). Lisa Leah Moore practices in Selah, WA and has the professional credentials of CDP. The NPI Number for Lisa Leah Moore is 1265909865 and holds a License No. CP00000778 (Washington).

The current practice location address for Lisa Leah Moore is 2280 Sr 821, Selah, WA and can be reached out via phone at 509-457-0990 and via fax at 509-454-4548.

Location: 2280 Sr 821, Selah, WA, 98901
person
Provider Profile Details
NPI Number
1265909865
Provider Name
Lisa Leah Moore
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
2280 Sr 821, Selah, WA, 98901
Phone Number
509-457-0990
Fax Number
509-454-4548
Provider Enumeration Date
11/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP00000778 01 WA CDP
institution
Provider Business Practice Location Address Details
Address
2280 Sr 821
City
State
Zip
98901
Phone Number
509-457-0990
Fax Number
509-454-4548
person
Provider Business Mailing Address Details
Address
2280 Sr 821
City
State
Zip
98901
Phone Number
509-457-0990
Fax Number
509-454-4548
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00000778 (Washington)
Definition
Definition to come...
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