Individual
WENDOLYN MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2323 W FRONT ST, TYLER, TX 75702-7747
(903) 535-7341
Mailing address
1278 FM 1798 E, MT ENTERPRISE, TX 75681-3091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14225
TX
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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