| Moon Wellness Llc | |
|
488 N Main St Ste 2n Glen Ellyn IL 60137-5126 | |
| (630) 296-7073 | |
| Not Available |
| Full Name | Moon Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 488 N Main St Ste 2n, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Katharine Moon Raess (CLINICAL THERAPIST) |
| Authorized Official Contact | 6603411071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Wellness Llc 834 N Summit St Wheaton IL 60187-4454 Ph: (660) 341-1071 | Moon Wellness Llc 488 N Main St Ste 2n Glen Ellyn IL 60137-5126 Ph: (630) 296-7073 |
| NPI Number | 1588448658 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588448658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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