Individual provider · Type 1 NPI
Hazel Moon, LPC
Professional Counselor · Russellville, AR
NPI number
1083186431
Active
Practice location
307 James Cir
Russellville, AR 72801-5829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P2202000 (AR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1083186431
Hazel Moon, LPC's National Provider Identifier is 1083186431, issued on Dec 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Russellville, AR. The record was last updated on Mar 13, 2026.