Individual provider · Type 1 NPI
Brandon Arthur Moak
Professional Counselor · San Tan Valley, AZ
NPI number
1194222380
Active
Practice location
2474 E Hunt Hwy # 100
San Tan Valley, AZ 85143-5210
Mailing address
1365 E Ash Rd
San Tan Valley, AZ 85140-3214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC16429 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1194222380
Brandon Arthur Moak's National Provider Identifier is 1194222380, issued on Apr 12, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Tan Valley, AZ. The record was last updated on Apr 12, 2018.