| Crescent Moon Counseling, Llc | |
|
1055 E Timber Ln Coeur D Alene ID 83815-6508 | |
| (208) 818-0303 | |
| Not Available |
| Full Name | Crescent Moon Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1055 E Timber Ln, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Keryn Richards (OWNER) |
| Authorized Official Contact | 2088180303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Moon Counseling, Llc 1055 E Timber Ln Coeur D Alene ID 83815-6508 Ph: (208) 818-0303 | Crescent Moon Counseling, Llc 1055 E Timber Ln Coeur D Alene ID 83815-6508 Ph: (208) 818-0303 |
| NPI Number | 1518592344 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518592344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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