# MOONSTONE RISING COUNSELING AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003634130
- **Authorized official:** REBECCA SHUFLIN CSWA (OWNER)
- **Authorized official phone:** (707) 599-1915

## Contact information

- **Practice address:** 1104 E JACKSON ST, MEDFORD, OR 97504-7029
- **Practice address phone:** (888) 556-7282
- **Practice address fax:** (458) 203-5051
- **Mailing address:** PO BOX 1787, MEDFORD, OR 97501-0261
- **Mailing address phone:** (888) 556-7282
- **Mailing address fax:** (458) 203-5051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2024
- **Last updated:** 10/15/2026