Individual
MS. SUSAN MICHELE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, C1194, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 988-2884
Mailing address
1481 W 10TH ST, C1194, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 988-2884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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