Individual provider · Type 1 NPI
Virginia Ellen Moon, M.S.
Mental Health Counselor · Wautoma, WI
NPI number
1780919506
Active
Practice location
203 South 16th Court
Wautoma, WI 54982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1780919506
Virginia Ellen Moon, M.S.'s National Provider Identifier is 1780919506, issued on Oct 13, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wautoma, WI. The record was last updated on Oct 13, 2009.