Moon Wellness LLC
NPI #1588448658 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1588448658
- Entity Type
- Organization
- Organization Name
- Moon Wellness LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 21, 2023
- Last Updated
- Aug 21, 2023
Practice Location
- Address
- 488 N MAIN ST STE 2N
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5126
- Phone
- (630) 296-7073
Authorized Official
- Name
- KATHARINE MOON RAESS, LCPC
- Title
- CLINICAL THERAPIST
- Phone
- (660) 341-1071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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