Individual
PETER ALLEN MOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2313 3RD AVE, SEATTLE, WA 98121-1711
(206) 256-9865
Mailing address
2313 3RD AVE, SEATTLE, WA 98121-1711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60755908
WA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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