Mr Christopher Moon, LPC | |
200 Ne Missouri Rd, Suite 302, Lees Summit, MO 64086-4720 | |
(816) 523-0103 | |
(816) 361-6471 |
Full Name | Mr Christopher Moon |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 200 Ne Missouri Rd, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376608190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2002032340 (Missouri) | Primary |
Entity Name | M A Mirza Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376757617 PECOS PAC ID: 4284865056 Enrollment ID: O20140319001260 |
Mailing Address | Practice Location Address |
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Mr Christopher Moon, LPC 200 Ne Missouri Rd, Suite 302, Lees Summit, MO 64086-4720 Ph: (816) 523-0103 | Mr Christopher Moon, LPC 200 Ne Missouri Rd, Suite 302, Lees Summit, MO 64086-4720 Ph: (816) 523-0103 |
Alicia Mclemore, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-966-0900 | |
Jillian Salanski, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3064 Fax: 816-246-8207 | |
Larissa Caron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3007 | |
Emma Kirk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 668 Se Bayberry Ln Ste 105, Lees Summit, MO 64063 Phone: 816-287-4040 | |
Megan Elizabeth Deaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1272 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-246-4465 | |
Elizabeth Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Murray Rd Ste 300, Lees Summit, MO 64081 Phone: 816-272-5656 | |
Tiffany Radcliff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Ne Missouri Rd Ste 307, Lees Summit, MO 64086 Phone: 816-839-9427 |