Individual
ADAM JEFFREY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3510 STEELHAMMER LANE, CENTRALIA, WA 98531
(360) 623-8020
Mailing address
3510 STEELHAMMER LANE, CENTRALIA, WA 98531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
10/06/2020
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