MOONWELL THERAPY LLC

PORTLAND, OR
NPI1841167103
Entity TypeOrganization
Authorized ContactSHABD K KHALSA
Owner/Lpc
512-689-7173
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-10-21
Last Update Date2025-10-21
Business Address
MOONWELL THERAPY LLC
4721 SW 45TH AVE
PORTLAND, OR 97221-3620
Phone number: 512-900-7602
Mailing Address
MOONWELL THERAPY LLC
4721 SW 45TH AVE
PORTLAND, OR 97221-3620
Phone number: 512-900-7602
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