Individual provider · Type 1 NPI
Jennifer Staller Moon, LPC
Mental Health Counselor · Cumming, GA
NPI number
1023942174
Active
Practice location
2445 Churchill Downs
Cumming, GA 30041-8269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 016935 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1023942174
Jennifer Staller Moon, LPC's National Provider Identifier is 1023942174, issued on Jun 11, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cumming, GA. The record was last updated on Jun 11, 2026.