| NPI | 1942079363 |
|---|---|
| Doing Business As | MOONRISE THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KAITLIN DOUGLAS Co Owner And Clinical Director 970-613-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |