Individual provider · Type 1 NPI

Mara Lake Moon

Mental Health Counselor · Eugene, OR

NPI number 1992676795 Active

Practice location

2149 Centennial Plz Ste 4
Eugene, OR 97401-2456

Mailing address

78 Centennial Loop Ste A
Eugene, OR 97401-7900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992676795

Mara Lake Moon's National Provider Identifier is 1992676795, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Sep 15, 2025.