Blake Carenton Moss

NPI #1326837931 in Sammamish, Washington

Provider Information

NPI Number: 1326837931
Entity Type: Individual
Name: Blake Carenton Moss
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 1, 2025
Last Updated: May 1, 2025

Practice Location

Address: 4425 ISSAQUAH PINE LAKE RD SE APT I14
City: Sammamish
State: Washington
ZIP Code: 98075-6247
Phone: (832) 943-7204

Specialties & Taxonomy Codes

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

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