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Mr. Christopher Scott Moon
Professional Counselor in Grand Rapids, Michigan
NPI 1689124117

Christopher Scott Moon is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Christopher Scott Moon practices in Grand Rapids, MI. The NPI Number for Christopher Scott Moon is 1689124117 and holds a License No. (Michigan).

The current practice location address for Christopher Scott Moon is 790 Fuller Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-336-3909 and via fax at 616-336-8830.

Location: 790 Fuller Ave Ne, Grand Rapids, MI, 49503-1918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689124117
Provider Name
Christopher Scott Moon
Credential
Provider Entity Type
Individual
Gender
Male
Address
790 Fuller Ave Ne, Grand Rapids, MI, 49503-1918
Phone Number
616-336-3909
Fax Number
616-336-8830
Provider Enumeration Date
10/07/2016
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
790 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49503
Phone Number
616-336-3909
Fax Number
616-336-8830
person
Provider Business Mailing Address Details
Address
790 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49503
Phone Number
616-336-3909
Fax Number
616-336-8830
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6401223787 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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