Hazel Moon, LPC
NPI #1083186431 in Russellville, Arkansas
Provider Information
- NPI Number
- 1083186431
- Entity Type
- Individual
- Name
- Hazel Moon, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Dec 26, 2018
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 1475 S DETROIT AVE
- City
- Russellville
- State
- Arkansas
- ZIP Code
- 72801-6838
- Phone
- (479) 396-4826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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