Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenda Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548787765

Brenda Moore is an Addiction (Substance Use Disorder) Counselor in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017

Practice location Address checks out

305 Pacific Ave S Ste 102
Kelso, WA 98626-1638
Phone: (360) 577-7442
Fax: (360) 577-7904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP00002285 (WA)

Record details

NPI number1548787765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESNovember 21, 2019
Mailing addressPo Box 1847, Longview, WA 98632-8140

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