Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1659522944
Practice Locations (1)
BLUE MOON SENIOR COUNSELING
900 NE 18TH AVE, SUITE 1207
FORT LAUDERDALE, FL 333043052
9544892728
Source: CMS National Downloadable File, September 2026.