Individual
DR. CRYSTAL MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LMHC, LCPC
Contact information
Practice address
7220 GATES MILL RD, LAS VEGAS, NV 89128-3110
(808) 729-7316
Mailing address
7220 GATES MILL RD, LAS VEGAS, NV 89128-3110
(808) 729-7316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC-698
HI
101YP2500X
Professional Counselor
Primary
CP5214-R
NV
Other
Enumeration date
05/17/2018
Last updated
12/16/2023
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