| Moonbeam Counseling Llc | |
|
1032 Lithia Way Talent OR 97540-7846 | |
| (616) 901-2749 | |
| Not Available |
| Full Name | Moonbeam Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1032 Lithia Way, Talent, Oregon |
| Authorized Official Name and Position | Isabelle Schnelle (SOCIAL WORK) |
| Authorized Official Contact | 6169012749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonbeam Counseling Llc 1032 Lithia Way Talent OR 97540-7846 Ph: (616) 901-2749 | Moonbeam Counseling Llc 1032 Lithia Way Talent OR 97540-7846 Ph: (616) 901-2749 |
| NPI Number | 1336903988 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336903988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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