Individual
MR. CHRISTOPHER PAUL MOONEYHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3315 AIRWAY DR, SANTA ROSA, CA 95403-2005
(707) 604-7660
Mailing address
3315 AIRWAY DR, SANTA ROSA, CA 95403-2005
(707) 604-7660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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