Individual
MR. LIAM MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
140 SWALLOW ST, OLYPHANT, PA 18447-1738
(570) 904-3321
Mailing address
140 SWALLOW ST, OLYPHANT, PA 18447-1738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC017420
PA
101YM0800X
Mental Health Counselor
PC017420
PA
101YP2500X
Professional Counselor
PC017420
PA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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