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Patricia Ann Moore, CDP
Addiction (Substance Use Disorder) Counselor in Olympia, Washington
NPI 1467771436

Patricia Ann Moore is an Addiction (Substance Use Disorder) Counselor based in Olympia, WA and is specialized in Addiction (Substance Use Disorder). Patricia Ann Moore practices in Olympia, WA and has the professional credentials of CDP. The NPI Number for Patricia Ann Moore is 1467771436 and holds a License No. CP60119738 (Washington).

The current practice location address for Patricia Ann Moore is 200 Lilly Rd Ne Ste C, Olympia, WA and can be reached out via phone at 360-918-8336 and via fax at 360-972-2152.

Location: 200 Lilly Rd Ne Ste C, Olympia, WA, 98506-5427
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Provider Profile Details
NPI Number
1467771436
Provider Name
Patricia Ann Moore
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
200 Lilly Rd Ne Ste C, Olympia, WA, 98506-5427
Phone Number
360-918-8336
Fax Number
360-972-2152
Provider Enumeration Date
05/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2115178 05 WA
institution
Provider Business Practice Location Address Details
Address
200 Lilly Rd Ne Ste C
City
State
Zip
98506-5080
Phone Number
360-918-8336
Fax Number
360-972-2152
person
Provider Business Mailing Address Details
Address
200 Lilly Rd Ne Ste C
City
State
Zip
98506-5080
Phone Number
360-918-8336
Fax Number
360-972-2152
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60119738 (Washington)
Definition
Definition to come...
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