Individual
GINA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, LBS
Contact information
Practice address
201 INTERNATIONAL CIR, SUITE 230, HUNT VALLEY, MD 21030-1304
(866) 287-2036
Mailing address
349 E HIGH ACRES RD, GREENSBURG, PA 15601-6487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007144
PA
103K00000X
Behavior Analyst
BH000392
PA
Other
Enumeration date
07/01/2015
Last updated
03/29/2017
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