Whalio Doctors

NPI 1033590955

Wendell Demarr Moss, MA

Practitioner Mental Health Counselor Marysville, WA

Practice location

Address
1622 3rd St, Marysville, WA 98270-5004
Phone
(425) 224-6693
Mailing address
2231 Rucker Ave APT 9, Everett, WA 98201-2783

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LH60473731 (WA)

Registry record

NPI
1033590955
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jun 2015
Record last updated
16 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.