Individual
BRENNON PATRICK MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-II, LPC, LMHC
Contact information
Practice address
19570 AMBER MEADOW DR STE 120, BEND, OR 97702-3530
(541) 980-7542
Mailing address
2998 NE RAINIER DR, BEND, OR 97701-7763
(541) 980-7542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3918
OR
101YM0800X
Mental Health Counselor
LH60571272
WA
Other
Enumeration date
07/12/2016
Last updated
02/20/2026
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