Individual provider · Type 1 NPI

Sara Rose Moon

Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA

NPI number 1679737167 Active

Practice location

707 Fair Ave
Santa Cruz, CA 95060-5828

Call (831) 427-1007 Map

Fax (831) 454-0545

Mailing address

114B Elk St
Santa Cruz, CA 95065-1307

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 1679737167

Sara Rose Moon's National Provider Identifier is 1679737167, issued on Jul 14, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 14, 2008.