Blake Carenton Moss
Blake Carenton Moss is an Addiction (Substance Use Disorder) Counselor in Sammamish, Washington. Licensed in Washington. Registered with an NPI since 2025.
- Licensed in
- WA
- In the registry since
- 2025
Practice location Address checks out
4425 Issaquah Pine Lake Rd SE Apt I14Sammamish, WA 98075-6247
Phone: (832) 943-7204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CO61411437 (WA) |
|---|
Record details
| NPI number | 1326837931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 1, 2025 |
| Last updated in NPPES | May 1, 2025 |
| Certification date | May 1, 2025 |
| Mailing address | 33010 Se 99th St, Snoqualmie, WA 98065-9797 |
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