NICOLE MOON

ROSEBURG, OR
NPI1972220333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2022-10-25
Last Update Date2025-04-17
Business Address
NICOLE MOON
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
Mailing Address
NICOLE MOON
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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