Individual
DR. KADIJA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MED
Contact information
Practice address
24624 I-45 NORTH, STE 200, SPRING, TX 77386
(832) 910-9817
Mailing address
24624 I-45 NORTH, STE 200, SPRING, TX 77386
(832) 910-9817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
80787
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
101YM0800X
Mental Health Counselor
80787
TX
103T00000X
Psychologist
Primary
39586
TX
103TC1900X
Counseling Psychologist
39586
TX
Other
Enumeration date
07/11/2022
Last updated
11/25/2022
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