Andria Moon, THERAPIST
NPI #1710163985 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1710163985
- Entity Type
- Individual
- Name
- Andria Moon, THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- THERAPIST
- Enumeration Date
- Jan 17, 2008
- Last Updated
- Jan 17, 2008
Practice Location
- Address
- 1825 E BROADWAY ST
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-3409
- Phone
- (870) 630-2328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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