Individual
CYNTHIA RAE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
1515 LANCASHIRE DR SE, GRAND RAPIDS, MI 49508-2534
(269) 788-2304
Mailing address
1515 LANCASHIRE DR SE, GRAND RAPIDS, MI 49508-2534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451015035
MI
Other
Enumeration date
01/06/2025
Last updated
01/13/2025
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