Individual provider · Type 1 NPI

Sarah Rebecca Jo Moon

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1013636034 Active

Practice location

3099 NE Diamond Lake Blvd
Roseburg, OR 97470-3655

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013636034

Sarah Rebecca Jo Moon's National Provider Identifier is 1013636034, issued on Aug 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Aug 23, 2022.