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Amanda C Moore
Counselor in Longview, Washington
NPI 1770028433

Amanda C Moore is a Counselor based in Longview, WA. Amanda C Moore practices in Longview, WA. The NPI Number for Amanda C Moore is 1770028433 and holds a License No. MC61229898 (Washington).

The current practice location address for Amanda C Moore is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736. You can also correspond with Amanda C Moore through the mailing address at PO BOX 2394, LONGVIEW, WA - 98632-8455 (mailing address contact number: 360-200-5419).

Location: 748 14Th Ave, Longview, WA, 98632-8455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770028433
Provider Name
Amanda C Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632-8455
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
01/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MC61229898 (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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