Organization
RISING MOON THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA CURELO LPC, ATR-BC (OWNER/LICENSED PROF. COUNSELOR)
(541) 435-0304
Entity
Organization
Contact information
Practice address
375 PARK AVE STE 2, COOS BAY, OR 97420-2242
(541) 435-0304
(541) 394-4142
Mailing address
PO BOX 426, COOS BAY, OR 97420-0048
(541) 435-0304
(541) 394-4142
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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