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Leroy Moore III
Counselor in Lakewood, Washington
NPI 1609382381

Leroy Moore III is a Counselor based in Lakewood, WA. Leroy Moore III practices in Lakewood, WA. The NPI Number for Leroy Moore III is 1609382381 and holds a License No. CG60720520 (Washington).

The current practice location address for Leroy Moore III is 8811 S. Tacoma Way, Lakewood, WA and can be reached out via phone at 253-302-3826.

Location: 8811 S. Tacoma Way, Lakewood, WA, 98499-4595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609382381
Provider Name
Leroy Moore III
Credential
Provider Entity Type
Individual
Gender
Male
Address
8811 S. Tacoma Way, Lakewood, WA, 98499-4595
Phone Number
253-302-3826
Fax Number
Provider Enumeration Date
12/18/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8811 S. Tacoma Way
City
Lakewood
State
Washington
Zip
98499
Phone Number
253-302-3826
Fax Number
person
Provider Business Mailing Address Details
Address
8811 S. Tacoma Way
City
Lakewood
State
Washington
Zip
98499
Phone Number
253-302-3826
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60720520 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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