Individual
MR. RICHARD MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2710 W PLACITA MESA ALTA, TUCSON, AZ 85742-8736
(520) 481-4802
Mailing address
2710 W PLACITA MESA ALTA, TUCSON, AZ 85742-8736
(520) 481-4802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-13404
AZ
101YP2500X
Professional Counselor
Primary
LPC-13404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-13404
ARIZONA STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS (AZBBHE)
AZ
Enumeration date
02/25/2020
Last updated
02/25/2020
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