| NPI | 1659749299 |
|---|---|
| Doing Business As | BLUE MOON COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOLE CHRASTIL Supervisor CEO 303-669-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225A00000X Music Therapist (Licence: CO 11191) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC0011936) |
| 101YM0800X Counselor Mental Health (Licence: CO LPC0011936) | |
| 251S00000X Community/Behavioral Health (Licence: CO LPC0011936) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2016-10-05 |