| Crystal Moon Counseling Llc | |
|
413 S Logan Blvd Ste 3 Altoona PA 16602-5643 | |
| (814) 201-2750 | |
| Not Available |
| Full Name | Crystal Moon Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 413 S Logan Blvd Ste 3, Altoona, Pennsylvania |
| Authorized Official Name and Position | Crystal Kay Grant (OWNER) |
| Authorized Official Contact | 8146606257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Moon Counseling Llc 413 S Logan Blvd Ste 3 Altoona PA 16602-5643 Ph: (814) 201-2750 | Crystal Moon Counseling Llc 413 S Logan Blvd Ste 3 Altoona PA 16602-5643 Ph: (814) 201-2750 |
| NPI Number | 1073361549 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073361549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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