Individual provider · Type 1 NPI

Kyle Kathleen Moon

Counselor · The Dalles, OR

NPI number 1144766221 Active

Practice location

3601 W 10th St
The Dalles, OR 97058-4377

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Other practice locations

  • 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 · (877) 418-2978
  • 1260 Morena Blvd, San Diego, CA 92110-3889 · (619) 398-0355

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

15 other providers at this address

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About NPI 1144766221

Kyle Kathleen Moon's National Provider Identifier is 1144766221, issued on Jan 12, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in The Dalles, OR. The record was last updated on Sep 15, 2023.