Organization
MOONSTONE MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DAEMKE MA, LMFT (OWNER)
(719) 659-5329
Entity
Organization
Contact information
Practice address
5745 E OLD FARM CIR, COLORADO SPRINGS, CO 80917-1141
(719) 659-5329
Mailing address
5745 E OLD FARM CIR, COLORADO SPRINGS, CO 80917-1141
(719) 659-5329
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/15/2023
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