| Crescent Moon Counseling, Llc | |
|
2800 E Enterprise Ave Appleton WI 54913-7889 | |
| (715) 952-9072 | |
| (888) 715-2506 |
| Full Name | Crescent Moon Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2800 E Enterprise Ave, Appleton, Wisconsin |
| Authorized Official Name and Position | Ashley Ramm (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7159529072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Moon Counseling, Llc Po Box 188 Amery WI 54001-0188 Ph: (715) 952-9072 | Crescent Moon Counseling, Llc 2800 E Enterprise Ave Appleton WI 54913-7889 Ph: (715) 952-9072 |
| NPI Number | 1558056580 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558056580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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