Lisa Marie Moon
Lisa Marie Moon is an Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.
- Licensed in
- WI
- In the registry since
- 2021
Practice location Address checks out
5005 University AveMadison, WI 53705-5439
Phone: (608) 233-2100
Fax: (608) 233-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 19349-130 (WI) |
|---|
Record details
| NPI number | 1699340075 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 26, 2021 |
| Last updated in NPPES | May 26, 2021 |
| Certification date | May 26, 2021 |
| Mailing address | 1021 N Mulford Rd, Rockford, IL 61107-3874 |
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