MISS ASHLEY RAE MOON
NPI 1063856870
Counselor - Mental Health in Mchenry, IL
Active since April 23, 2013
About Miss Ashley Rae Moon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS ASHLEY RAE MOON (NPI 1063856870) is an individual mental health provider in Mchenry, Illinois and active in the NPI registry since April 2013.
NPPES Registry Identity
NPI1063856870
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS ASHLEY RAE MOON
Location Address4001 W DAYTON STMchenry, IL 60050-8377
Mailing Address4001 W Dayton StMchenry, IL 60050-8377 · (815) 759-7072 · Fax (815) 759-7298
Phone(815) 759-7072
Fax(815) 759-7298
Sole ProprietorYes
Enumeration DateApril 23, 2013
✔ NPI 1063856870 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4001 W DAYTON ST, Mchenry, IL 60050
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063856870, enumerated as an "individual" on April 23, 2013.
The provider is located at 4001 W DAYTON ST MCHENRY, IL 60050 and the phone number is (815) 759-7072.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
