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Organization
MOON WELLNESS LLC
Active
Organization
MOON WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE MOON RAESS LCPC (CLINICAL THERAPIST)
(660) 341-1071
Entity
Organization
Contact information
Practice address
488 N MAIN ST STE 2N, GLEN ELLYN, IL 60137-5126
(630) 296-7073
Mailing address
834 N SUMMIT ST, WHEATON, IL 60187-4454
(660) 341-1071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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