Individual
MISS KATIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
520 11TH ST NW, ABBE CENTER COMMUNITY MENTAL HEALTH, CEDAR RAPIDS, IA 52405
(319) 398-3562
(319) 398-3501
Mailing address
520 11TH ST NW, ABBE CENTER COMMUNITY MENTAL HEALTH, CEDAR RAPIDS, IA 52405
(319) 398-3562
(319) 398-3501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001275
IA
Other
Enumeration date
06/03/2010
Last updated
07/20/2012
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