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Individual

MR. CHARLIE NORRIS MOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
5664 SW 60TH AVENUE, OCALA, FL 34474-5677
(352) 291-5400
(352) 291-5582
Mailing address
5664 SW 60TH AVENUE, OCALA, FL 34474-5677
(352) 291-5400
(352) 291-5582

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2066
FL

Other

Enumeration date
05/10/2006
Last updated
07/21/2015
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