Individual provider · Type 1 NPI

Susan Michele Moon

Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI number 1144317769 Active

Practice location

1481 W 10th St, C1194
Indianapolis, IN 46202-2803

Call (317) 554-0000 Map

Fax (317) 988-2884

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 1144317769

Susan Michele Moon's National Provider Identifier is 1144317769, issued on Oct 6, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.