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Individual
RONALD O'NEIL MOON
Active
Individual
RONALD O'NEIL MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, CDP, MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CD00000557
WA
101YM0800X
Mental Health Counselor
Primary
LH00009860
WA
Other
Enumeration date
07/25/2014
Last updated
07/28/2014
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