Moon, Kerianne Mauch
Moon, Kerianne Mauch is an individual health care provider with primary practice located at 10011 Little Creek Cir , Dripping Springs TX 78620-2645. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moon, Kerianne Mauch can be contacted via phone (218) 831-0075.Contact Information
Primary practice address
10011 Little Creek Cir
Dripping Springs TX 78620-2645
Phone: (218) 831-0075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 16592 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 60361 | Texas |
Profile Details
| NPI number | 1194884841 |
|---|---|
| LBN Legal business name | Moon, Kerianne Mauch |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Dec 13th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194884841 | NPPES |
| Minnesota | MEDICAID | 113415900 |
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