Organization
MOONCALF, LLC
Active
Other names
Flyover Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WALKER LCPC (CLINICAL DIRECTOR)
(515) 758-0358
Entity
Organization
Contact information
Practice address
6029 BROADMOOR ST UNIT 234, MISSION, KS 66201-2475
(515) 758-0358
Mailing address
6029 BROADMOOR ST UNIT 234, MISSION, KS 66201-2475
(515) 758-0358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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