person
Charly A Moore, SUDPT
Addiction (Substance Use Disorder) Counselor in Burlington, Washington
NPI 1528666369

Charly A Moore is an Addiction (Substance Use Disorder) Counselor based in Ferndale, WA and is specialized in Addiction (Substance Use Disorder). Charly A Moore practices in Burlington, WA and has the professional credentials of SUDPT. The NPI Number for Charly A Moore is 1528666369 and holds a License No. CO60996036 (Washington).

The current practice location address for Charly A Moore is 614 Peterson Rd, Burlington, WA and can be reached out via phone at 360-757-0131.

Location: 614 Peterson Rd, Burlington, WA, 98248-8959
person
Provider Profile Details
NPI Number
1528666369
Provider Name
Charly A Moore
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
614 Peterson Rd, Burlington, WA, 98248-8959
Phone Number
360-757-0131
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
614 Peterson Rd
City
State
Zip
98233-2606
Phone Number
360-757-0131
Fax Number
person
Provider Business Mailing Address Details
Address
614 Peterson Rd
City
State
Zip
98233-2606
Phone Number
360-757-0131
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60996036 (Washington)
Definition
Definition to come...
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