Individual
JAMES BENJAMIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT LMHC
Contact information
Practice address
17250 10TH AVE NW, SHORELINE, WA 98177
(206) 542-0956
Mailing address
17250 10TH AVE NW, SHORELINE, WA 98177
(206) 542-0956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH00004942
WA
106H00000X
Marriage & Family Therapist
Primary
LF00001538
WA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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