Derrick Moore

NPI #1609469642 in Spokane Valley, Washington

Provider Information

NPI Number: 1609469642
Entity Type: Individual
Name: Derrick Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 19, 2021
Last Updated: Feb 19, 2021

Practice Location

Address: 14819 E MISSION AVE
City: Spokane Valley
State: Washington
ZIP Code: 99216-1960
Phone: (509) 315-9791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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