Individual
MRS. JAYNA L MOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
865 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3327
(814) 266-8840
(814) 266-4922
Mailing address
1322 EISENHOWER BLVD., JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
PA
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007708200003
—
PA
Enumeration date
02/29/2008
Last updated
07/29/2013
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