Individual
JULIAN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC, LCPC
Contact information
Practice address
1433 N 1200 W, OREM, UT 84057-2449
(801) 655-5450
(385) 225-9327
Mailing address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(801) 355-2846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11770839-6004
UT
101YM0800X
Mental Health Counselor
1671133
ID
101YP2500X
Professional Counselor
0021918
CO
101YP2500X
Professional Counselor
1671133
ID
Other
Enumeration date
01/23/2019
Last updated
04/06/2026
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