Individual
GAIL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP00004745
Contact information
Practice address
9930 EVERGREEN WAY, BUILDING Z150, EVERETT, WA 98204-3883
(425) 347-5121
(425) 353-6425
Mailing address
9930 EVERGREEN WAY, BUILDING Z150, EVERETT, WA 98204-3883
(425) 347-5121
(425) 353-6425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00004745
WA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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