MR. Gary Chalon Moon
NPI #1568968048 in Lincoln, California
Provider Information
- NPI Number
- 1568968048
- Entity Type
- Individual
- Name
- MR. Gary Chalon Moon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Apr 3, 2018
- Last Updated
- Apr 3, 2018
Practice Location
- Address
- 385 LILAC LN
- City
- Lincoln
- State
- California
- ZIP Code
- 95648-8165
- Phone
- (916) 708-7557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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