Individual
ARIEL MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
1652 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-3985
Mailing address
550 S STATE ST UNIT 190, SUTHERLIN, OR 97479-8514
(541) 788-4574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
25-QMHP-R-3735
OR
104100000X
Social Worker
Primary
A16803
OR
171M00000X
Case Manager/Care Coordinator
23-QMHA-I-004057
OR
172V00000X
Community Health Worker
THW000106745
OR
Other
Enumeration date
05/11/2022
Last updated
08/11/2025
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