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Samuel Moore
Mental Health Counselor in Vancouver, Washington
NPI 1427508639

Samuel Moore is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Samuel Moore practices in Vancouver, WA. The NPI Number for Samuel Moore is 1427508639 and holds a License No. (Washington).

The current practice location address for Samuel Moore is 1014 Main Street, Vancouver, WA and can be reached out via phone at 360-695-1014 and via fax at 360-750-1374.

Location: 1014 Main Street, Vancouver, WA, 98660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427508639
Provider Name
Samuel Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1014 Main Street, Vancouver, WA, 98660
Phone Number
360-695-1014
Fax Number
360-750-1374
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1014 Main Street
City
Vancouver
State
Washington
Zip
98660
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider Business Mailing Address Details
Address
1014 Main Street
City
Vancouver
State
Washington
Zip
98660
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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