Individual
MR. WALTER J MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CDP
Contact information
Practice address
144 RAILROAD AVE STE 205, EDMONDS, WA 98020-4121
(206) 456-4498
Mailing address
144 RAILROAD AVE STE 205, EDMONDS, WA 98020-4121
(206) 456-4498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00004147
WA
101YM0800X
Mental Health Counselor
LH00010791
WA
Other
Enumeration date
01/17/2007
Last updated
11/23/2021
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