Doctor Name: | JAMES BENJAMIN MOORE |
NPI Number: | 1487840807 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFT LMHC |
License Number: | LH00004942 |
Business Practice Address: | 17250 10th Ave Nw Shoreline, WA - 98177 |
Business Phone Number: | 2065420956 |
Business Fax Number: | |
Mailing Address: | 17250 10th Ave Nw, SHORELINE |
State: | WA |
Postal Code: | 98177 |
Phone Number: | 2065420956 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LH00004942 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |