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Yancy Moore, CDP
Addiction (Substance Use Disorder) Counselor in Aberdeen, Washington
NPI 1982158481

Yancy Moore is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Yancy Moore practices in Aberdeen, WA and has the professional credentials of CDP. The NPI Number for Yancy Moore is 1982158481 and holds a License No. CP60186868 (Washington).

The current practice location address for Yancy Moore is 2700 Simpson Avenue, Aberdeen, WA and can be reached out via phone at 360-612-0012 and via fax at 360-218-5945.

Location: 2700 Simpson Avenue, Aberdeen, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982158481
Provider Name
Yancy Moore
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
2700 Simpson Avenue, Aberdeen, WA, 98632
Phone Number
360-612-0012
Fax Number
360-218-5945
Provider Enumeration Date
08/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2700 Simpson Avenue
City
Aberdeen
State
Washington
Zip
98520
Phone Number
360-612-0012
Fax Number
360-218-5945
person
Provider Business Mailing Address Details
Address
2700 Simpson Avenue
City
Aberdeen
State
Washington
Zip
98520
Phone Number
360-612-0012
Fax Number
360-218-5945
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP60186868 (Washington)
Definition
Definition to come...
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