| Moonstone Rising Counseling And Wellness Llc | |
|
472 Lindsay Ln Ashland OR 97520-1038 | |
| (707) 599-1915 | |
| (800) 433-1396 |
| Full Name | Moonstone Rising Counseling And Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 472 Lindsay Ln, Ashland, Oregon |
| Authorized Official Name and Position | Rebecca Shuflin (OWNER) |
| Authorized Official Contact | 7075991915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonstone Rising Counseling And Wellness Llc Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Moonstone Rising Counseling And Wellness Llc 472 Lindsay Ln Ashland OR 97520-1038 Ph: (707) 599-1915 |
| NPI Number | 1003634130 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003634130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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