IndividualActive
Amanda Moore
NPI 1770028433 · Counselor · Longview, WA
Provider details
- NPI number
- 1770028433
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MC61229898 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
748 14th Ave
Longview, WA 98632-2315
Phone: (360) 200-5419
Fax: (360) 200-6736
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2394
Longview, WA 98632-8455
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2021-09-30
- Certified
- 2021-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.