Individual
ZACHARY MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1005 MOTTER AVE OFC, FREDERICK, MD 21701-4595
(240) 397-9259
Mailing address
10 N JEFFERSON ST, SUITE 203, FREDERICK, MD 21701-3500
(301) 712-9015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3647
MD
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300010
MBHP
MA
05
—
1300881
—
MA
Enumeration date
08/26/2008
Last updated
10/18/2018
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