Blue Moon Senior Counseling
Blue Moon Senior Counseling is a Clinical Social Worker in Plainfield, Illinois. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
Practice location Address checks out
10204 Bode St Ste BPlainfield, IL 60585-9813
Phone: (855) 241-7160
Fax: (954) 324-8354
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence SW8327 (FL) |
|---|
Record details
| NPI number | 1205129186 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melanie Donohue — Owner · (702) 403-0438 |
| NPI enumerated | May 25, 2011 |
| Last updated in NPPES | May 18, 2021 |
| Certification date | May 18, 2021 |
| Mailing address | 10204 Bode St Ste B, Plainfield, IL 60585-9813 |
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