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Organization
MOONFLOWER COUNSELING PLLC
Active
Organization
MOONFLOWER COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON GRIFFITH MS, LCPC (OWNER)
(435) 640-7763
Entity
Organization
Contact information
Practice address
1100 BEECH ST BLDG 8-1, NORMAL, IL 61761-1560
(435) 640-7763
Mailing address
1455 COUNTY ROAD 200 N, GOODFIELD, IL 61742-7504
(435) 640-7763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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