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Michelle Moore
Mental Health Counselor in Vancouver, Washington
NPI 1669143012

Michelle Moore is a Mental Health Counselor based in Washougal, WA and is specialized in Mental Health. Michelle Moore practices in Vancouver, WA. The NPI Number for Michelle Moore is 1669143012 and holds a License No. LH60990402 (Washington).

The current practice location address for Michelle Moore is 811 Ne 112Th Ave, Vancouver, WA and can be reached out via phone at 360-553-1350.

Location: 811 Ne 112Th Ave, Vancouver, WA, 98671-8172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669143012
Provider Name
Michelle Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
811 Ne 112Th Ave, Vancouver, WA, 98671-8172
Phone Number
360-553-1350
Fax Number
Provider Enumeration Date
09/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
811 Ne 112Th Ave
City
Vancouver
State
Washington
Zip
98684-5115
Phone Number
360-553-1350
Fax Number
person
Provider Business Mailing Address Details
Address
811 Ne 112Th Ave
City
Vancouver
State
Washington
Zip
98684-5115
Phone Number
360-553-1350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH60990402 (Washington)
Definition
Definition to come...
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