Individual
ANDRW MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 W OLYMPIC BLVD # 3A-300, LOS ANGELES, CA 90015-1019
(213) 249-9388
(213) 389-7993
Mailing address
1730 W OLYMPIC BLVD # 3A-300, LOS ANGELES, CA 90015-1019
(213) 249-9388
(213) 389-7993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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