Amanda C. Moore

Counselor · Longview, WA

Individual Active NPI

NPI number 1770028433

Practice location

748 14TH Ave
Longview, WA 98632-2315
Phone
(360) 200-5419
Fax
(360) 200-6736

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NPI record

NPI
1770028433
Entity type
Individual (Type 1)
Enumeration date
January 4, 2017
Last updated
September 30, 2021
Certified
September 30, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X MC61229898 WA

Mailing address

PO Box 2394
Longview, WA 98632-8455
Phone
(360) 200-5419
Fax
(360) 200-6736

About Amanda Moore

Amanda C. Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 748 14TH Ave, Longview, WA 98632-2315. The NPI number 1770028433 was assigned on January 4, 2017 and the record was last updated on September 30, 2021.

Amanda Moore lists a license in the registry: #MC61229898 (WA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda C. Moore?

The NPI number is 1770028433.

What is the phone number of Amanda Moore?

The phone number listed for the practice location is (360) 200-5419.

Where is Amanda Moore located?

748 14TH Ave, Longview, WA 98632-2315.

What is the taxonomy code for Amanda Moore?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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