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Individual
MR. GREGORY A MOON
Active
Individual
MR. GREGORY A MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LCAS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3337
NC
101YM0800X
Mental Health Counselor
8466
NC
101YP2500X
Professional Counselor
8466
NC
Other
Enumeration date
04/05/2012
Last updated
10/16/2015
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