Organization
MOON RIVER COUNSELING TX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFARAH MARIE CANION LPC (OWNER/THERAPIST)
(210) 836-8482
Entity
Organization
Contact information
Practice address
102 SUTTLES AVE STE B, SAN MARCOS, TX 78666-5015
(210) 836-8482
Mailing address
102 SUTTLES AVE STE B, SAN MARCOS, TX 78666-5015
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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