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CHARLY A MOORE SUDPT
NPI 1528666369
Counselor - Addiction (Substance Use Disorder) in Burlington, WA

Active since October 14, 2020
614 PETERSON RD, BURLINGTON, WA 98233(360) 757-0131 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charly A Moore Sudpt NPPES

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

CHARLY A MOORE SUDPT (NPI 1528666369) is an individual addiction (substance use disorder) provider in Burlington, Washington, licensed in Washington (CO60996036) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1528666369
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLY A MOORECredential: SUDPT
Location Address614 PETERSON RDBurlington, WA 98233-2606
Mailing Address1730 Labounty Dr # 9-248Ferndale, WA 98248-8959 · (360) 510-2996
Phone(360) 757-0131
Sole ProprietorYes
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1528666369 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 · CO60996036
614 PETERSON RD, Burlington, WA 98233
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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.

MR. BRYAN MCKAGAN CDP
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131
FRITZ CHARLES PETERSON CDP(T)
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131
LINDA HEERINGA
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131
BROOKE SMITH
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131
JENNIFER HAFFEY CDP
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131
ROBIN COE CDPT
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131
KATHLEEN MATTIX
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131
VERONICA VILLALOBOS
Counselor (Addiction (Substance Use Disorder))
614 PETERSON RD
BURLINGTON, WA 98233
Skagit County (360) 757-0131

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 Charly Moore's NPI number?

The NPI number for Charly Moore is 1528666369. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Charly Moore located?

Charly Moore practices at 614 Peterson Rd, Burlington, WA 98233. The listed phone number is (360) 757-0131.

What is Charly Moore'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 Charly Moore was last updated on October 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.