| NPI | 1275329450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MOORE Psychologist 253-355-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |