Crescent Moon Counseling, LLC
NPI #1518592344 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1518592344
- Entity Type
- Organization
- Organization Name
- Crescent Moon Counseling, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 12, 2020
- Last Updated
- Mar 12, 2020
Practice Location
- Address
- 1055 E TIMBER LN
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-6508
- Phone
- (208) 818-0303
Authorized Official
- Name
- KERYN RICHARDS, LCSW
- Title
- OWNER
- Phone
- (208) 818-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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