MR. Jonathan A Moe

NPI #1992579932 in Everett, Washington

Provider Information

NPI Number: 1992579932
Entity Type: Individual
Name: MR. Jonathan A Moe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 9, 2023
Last Updated: Dec 6, 2023

Practice Location

Address: 4526 FEDERAL AVE, BLDG. 1
Address 2: M/S 40
City: Everett
State: Washington
ZIP Code: 98203
Phone: (425) 349-8303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Counselor	101Y00000X	Primary

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