| NPI | 1275159824 |
|---|---|
| Former Legal Business Name | MOON COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | MARISA ANNE MOON Therapist/Counselor 801-702-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |