Moore, Tabitha

Moore, Tabitha is an individual health care provider with primary practice located at 2428 W Reynolds Ave , Centralia WA 98531-4554. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Tabitha can be contacted via phone (360) 330-9044.

Contact Information

Primary practice address
2428 W Reynolds Ave Centralia WA 98531-4554
Fax: (360) 736-2106
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1962943969
LBN Legal business name Moore, Tabitha
Credentials B.S., AAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Mar 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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