Individual
MR. WALTER EUGENE MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO60676277
Contact information
Practice address
2700 SIMPSON AVENUE, SUITE 101, ABERDEEN, WA 98520
(360) 612-0012
(360) 218-5945
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60676277
WA
Other
Enumeration date
08/29/2017
Last updated
04/30/2018
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