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General NPI Number Information
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NPI Number | 1528801669
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Entity Type | Organization
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Legal Business Name | MOON COUNSELING PLLC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 1711 E CENTRAL TEXAS EXPY STE 108-5
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City | KILLEEN
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State | TX
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Zip | 76541-9145
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Country | US
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Telephone | 512-332-4240
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Fax | 832-592-1273
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Provider Business Mailing Address
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Address Line | 2706 CROSS TIMBER DR
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City | KILLEEN
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State | TX
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Zip | 76543-5776
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Country | US
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Telephone | 512-332-4240
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Fax | 832-592-1273
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Authorized Official
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Title or Position | OWNER
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Name | MR. AARON WILLIAM MOON
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Credential | LCSW
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Telephone | 512-332-4240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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