Crystal Arlene Moan, - Counselor in Roseburg, OR

Crystal Arlene Moan, is a Counselor - Addiction (substance Use Disorder) based in Roseburg, Oregon. Crystal Arlene Moan is licensed to practice in Oregon (license number T-21-566) and her current practice location is 621 W Madrone St, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 440-3532.

NPI number for Crystal Arlene Moan is 1063158459 and her current mailing address is Po Box 1121, Roseburg, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063158459.

Contact Information

Crystal Arlene Moan,
621 W Madrone St,
Roseburg, OR 97470-3090
(541) 440-3532
(541) 440-3554

Healthcare Provider's Profile

Full NameCrystal Arlene Moan
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location621 W Madrone St, Roseburg, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063158459
  • Provider Enumeration Date: 05/09/2022
  • Last Update Date: 05/09/2022

Medical Identifiers

Medical identifiers for Crystal Arlene Moan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063158459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) T-21-566 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Arlene Moan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Arlene Moan,
Po Box 1121,
Roseburg, OR 97470-0254

Ph: (541) 440-3552
Crystal Arlene Moan,
621 W Madrone St,
Roseburg, OR 97470-3090

Ph: (541) 440-3532

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› Verified 2 days ago


Counselor in Roseburg, OR

Heather Whitney, B. OF ED.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 770 Se Kane St, Roseburg, OR 97470
Phone: 541-464-6455    Fax: 541-464-6457
Elisabeth Erin Payne,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 215 Se Jackson St, Roseburg, OR 97470
Phone: 541-464-6660    
Mr. Dale Edward Williams, MC, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Madrone St, Roseburg, OR 97470
Phone: 541-440-3532    Fax: 541-440-3554
Inger C Boyd, MA ED., BS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Madrone St, Roseburg, OR 97470
Phone: 541-440-3532    Fax: 541-440-3554
Mae L Hoopes,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Madrone St, Roseburg, OR 97470
Phone: 541-672-2691    Fax: 541-673-5642
Sarah Rebecca Jo Moon,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470
Phone: 541-672-2691    
Lois Francis-wolf,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471
Phone: 541-672-5667    Fax: 541-672-1048

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