| Moonrise Counseling | |
|
13127 Se Nixon Ave Milwaukie OR 97222-6170 | |
| (971) 930-5782 | |
| Not Available |
| Full Name | Moonrise Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13127 Se Nixon Ave, Milwaukie, Oregon |
| Authorized Official Name and Position | Megan Smith (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 9719305782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonrise Counseling 13127 Se Nixon Ave Milwaukie OR 97222-6170 Ph: (971) 930-5782 | Moonrise Counseling 13127 Se Nixon Ave Milwaukie OR 97222-6170 Ph: (971) 930-5782 |
| NPI Number | 1710747043 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710747043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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