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LICIA MONIQUE EMANUEL-MOFFETT CDPT
NPI 1184112294
Counselor - Addiction (Substance Use Disorder) in Longview, WA

Active since April 24, 2018
720 14TH AVE, LONGVIEW, WA 98632(360) 423-0203(360) 423-5086 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Licia Monique Emanuel-moffett Cdpt NPPES

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

LICIA MONIQUE EMANUEL-MOFFETT CDPT (NPI 1184112294) is an individual addiction (substance use disorder) provider in Longview, Washington, licensed in Washington (60811079) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1184112294
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLICIA MONIQUE EMANUEL-MOFFETTCredential: CDPT
Location Address720 14TH AVELongview, WA 98632-2315
Mailing Address921 14th AveLongview, WA 98632-2316 · (360) 423-0203 · Fax (360) 423-2311
Phone(360) 423-0203
Fax(360) 423-5086
Sole ProprietorNo
Enumeration DateApril 24, 2018
✔ NPI 1184112294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 60811079
720 14TH AVE, Longview, WA 98632
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Other Names 1

Former Name (1)Licia Monique Emanuel

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAILA A NAQIB-OSMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 501-8315
LOWER COLUMBIA PATHOLOGISTS PS
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-5620
HELEN H KIM MD
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 501-8315
WILLIAM J ELTON MD
Nuclear Medicine
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 501-8315
DONNETTE MARTELLE MA, GMHS
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
STEPHANIE KOEHLER CAAR
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
SHANE GRIMMETT
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
MRS. DEBBIE SHOUP RN
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Licia Emanuel-moffett's NPI number?

The NPI number for Licia Emanuel-moffett is 1184112294. It was assigned to this individual provider in the NPPES registry on April 24, 2018. The provider is also known as Licia Monique Emanuel.

Where is Licia Emanuel-moffett located?

Licia Emanuel-moffett practices at 720 14th Ave, Longview, WA 98632. The listed phone number is (360) 423-0203.

What is Licia Emanuel-moffett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Licia Emanuel-moffett was last updated on April 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.