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Mrs. Diane Marie Moore, LMHCA
Mental Health Counselor in Vancouver, Washington
NPI 1801232939

Diane Marie Moore is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Diane Marie Moore practices in Vancouver, WA and has the professional credentials of LMHCA. The NPI Number for Diane Marie Moore is 1801232939 and holds a License No. MC60330955 (Washington).

The current practice location address for Diane Marie Moore is 11105 Ne 14Th St, Vancouver, WA and can be reached out via phone at 360-909-8827.

Location: 11105 Ne 14Th St, Vancouver, WA, 98684-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801232939
Provider Name
Diane Marie Moore
Credential
LMHCA
Provider Entity Type
Individual
Gender
Female
Address
11105 Ne 14Th St, Vancouver, WA, 98684-4308
Phone Number
360-909-8827
Fax Number
Provider Enumeration Date
05/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11105 Ne 14Th St
City
Vancouver
State
Washington
Zip
98684-4308
Phone Number
360-909-8827
Fax Number
person
Provider Business Mailing Address Details
Address
11105 Ne 14Th St
City
Vancouver
State
Washington
Zip
98684-4308
Phone Number
360-909-8827
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60330955 (Washington)
Definition
Definition to come...
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