JONATHAN BROOKS MOORE
NPI 1124618392
Counselor in Spokane, WA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since January 21, 2021

107 S DIVISION ST, SPOKANE, WA 99202(509) 838-4651 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2021, Jan 21, 2021 (2 updates tracked since 2021).

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About Jonathan Brooks Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BROOKS MOORE (NPI 1124618392) is an individual counselor in Spokane, Washington, licensed in Washington (CG61137439) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1124618392

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJONATHAN BROOKS MOORE

Location Address107 S DIVISION STSpokane, WA 99202-1510

Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651

Phone(509) 838-4651

Sole ProprietorNo

Enumeration DateJanuary 21, 2021

Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration

NPPES CertifiedJuly 6, 2021

✔ NPI 1124618392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · CG61137439

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

107 S DIVISION ST, Spokane, WA 99202

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