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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528666369

Charly A Moore, SUDPT is an Addiction (Substance Use Disorder) Counselor in Burlington, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
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Practice location Address checks out

614 Peterson Rd
Burlington, WA 98233-2606
Phone: (360) 757-0131
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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 CO60996036 (WA)

Record details

NPI number1528666369
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPT
Sole proprietorYes
NPI enumeratedOctober 14, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020
Mailing address1730 Labounty Dr # 9-248, Ferndale, WA 98248-8959

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