Individual provider · Type 1 NPI

Christopher Scott Moon

Professional Counselor · Grand Rapids, MI

NPI number 1689124117 Active

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503

Call (616) 336-3909 Map

Fax (616) 336-8830

Other practice locations

  • 3300 36th St SE, Grand Rapids, MI 49512-2810 · (616) 942-2110

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X6401223787 (MI)

Professional Counselor: Definition to come...

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About NPI 1689124117

Christopher Scott Moon's National Provider Identifier is 1689124117, issued on Oct 7, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 6, 2024.