| Buried Moon Counseling | |
|
2355 State St Ste 101 Salem OR 97301-4541 | |
| (971) 306-5060 | |
| Not Available |
| Full Name | Buried Moon Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2355 State St Ste 101, Salem, Oregon |
| Authorized Official Name and Position | Serena Lynn Hamilton (OWNER/THERAPIST) |
| Authorized Official Contact | 9092731294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buried Moon Counseling 2355 State St Ste 101 Salem OR 97301-4541 Ph: (971) 306-5060 | Buried Moon Counseling 2355 State St Ste 101 Salem OR 97301-4541 Ph: (971) 306-5060 |
| NPI Number | 1316647464 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316647464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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