Katie Emily Moore, AAS, CDPT

NPI #1306311394 in Brush Prairie, Washington

Provider Information

NPI Number: 1306311394
Entity Type: Individual
Name: Katie Emily Moore, AAS, CDPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: AAS, CDPT
Enumeration Date: Oct 5, 2018
Last Updated: Oct 5, 2018

Practice Location

Address: 11910 NE 154TH ST
City: Brush Prairie
State: Washington
ZIP Code: 98606-9571
Phone: (360) 750-9588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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