Maximo Moreno III, CO60653500
Maximo Moreno III, CO60653500 is an Addiction (Substance Use Disorder) Counselor in Everett, Washington. Licensed in Washington. Registered with an NPI since 2017.
- Licensed in
- WA
- In the registry since
- 2017
Practice location Address checks out
5007 Claremont WayEverett, WA 98203-3321
Phone: (425) 609-5504
Fax: (425) 609-5506
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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 1174784185 (WA) |
|---|
Record details
| NPI number | 1639616220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO60653500 |
| Sole proprietor | No |
| NPI enumerated | January 20, 2017 |
| Last updated in NPPES | January 20, 2017 |
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