Organization
CRYSTAL MOON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL KAY GRANT LCSW (OWNER)
(814) 660-6257
Entity
Organization
Contact information
Practice address
413 S LOGAN BLVD STE 3, ALTOONA, PA 16602-5643
(814) 201-2750
Mailing address
413 S LOGAN BLVD STE 3, ALTOONA, PA 16602-5643
(814) 201-2750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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