Individual
YANCY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
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
CP60186868
WA
Other
Enumeration date
08/12/2016
Last updated
05/01/2018
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