Individual
CONNIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1423 W GARLAND AVE STE C, SPOKANE, WA 99205-2616
(509) 462-1700
Mailing address
1423 W GARLAND AVE STE C, SPOKANE, WA 99205-2616
(509) 462-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004706
WA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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