KATIE EMILY MOORE AAS CDPT NPI 1306311394

NPI Information

  • NPI: 1306311394
  • Provider Name: KATIE EMILY MOORE, AAS, CDPT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 11910 NE 154TH ST
    BRUSH PRAIRIE, WA
    ZIP 98606
  • Phone: (360) 750-9588

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NPI Details

Katie Emily Moore, AAS, CDPT is an addiction (substance use disorder) counselor in Brush Prairie, WA. Katie Emily Moore, AAS, CDPT NPI is 1306311394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11910 NE 154TH ST
BRUSH PRAIRIE, WA
ZIP 98606-571
Phone: (360) 750-9588

The enumeration date for this NPI number is 10/5/2018 and was last updated on 10/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CO60779419WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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