Organization · Type 2 NPI

Wild Moon Integrative Therapies: Cycle-Centered Healing

Professional Counselor · Wheat Ridge, CO

NPI number 1114579877 Active

Practice location

6101 W 38th Ave
Wheat Ridge, CO 80033-5146

Call (718) 974-6645 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1114579877

Wild Moon Integrative Therapies: Cycle-Centered Healing's National Provider Identifier is 1114579877, issued on Jul 12, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jul 12, 2019.