Individual
CRYSTAL A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 S WALNUT ST, SPOKANE, WA 99204-3326
(509) 624-3251
Mailing address
812 S WALNUT ST, SPOKANE, WA 99204-3326
(509) 624-3251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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