Individual
MRS. ALEXIS KAYBROOK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CAAR
Contact information
Practice address
403 W STATE ST STE 206, ABERDEEN, WA 98520-6140
(360) 986-0996
Mailing address
403 W STATE ST STE 206, ABERDEEN, WA 98520-6140
(360) 986-0996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61025586
WA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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