Individual
REBECCA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5761 ANNA CT, KETCHIKAN, AK 99901-9708
(907) 220-6602
Mailing address
5761 ANNA CT, KETCHIKAN, AK 99901-9708
(907) 220-6602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
153811
AK
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
11/07/2023
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