Moonrise Therapeutics, Inc.
NPI #1568934875 in Taftsville, Vermont
Provider Information
- NPI Number
- 1568934875
- Entity Type
- Organization
- Organization Name
- Moonrise Therapeutics, Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 27, 2018
- Last Updated
- Dec 27, 2018
Practice Location
- Address
- 41 WHITCOMB LANE
- City
- Taftsville
- State
- Vermont
- ZIP Code
- 05073
- Phone
- (802) 345-5637
Authorized Official
- Name
- DOROTHEA JESSER, LICSW
- Title
- DIRECTOR
- Phone
- (802) 345-5637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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