Organization
BLUE MOON COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DOPHEIDE (OWNER)
(641) 840-0813
Entity
Organization
Contact information
Practice address
939 OFFICE PARK RD STE 310, WEST DES MOINES, IA 50265-2538
(641) 840-0813
Mailing address
9225 LINCOLN AVE, CLIVE, IA 50325-6261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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