Individual provider · Type 1 NPI

Elisabeth Grace Moon

Professional Counselor · Hiram, GA

NPI number 1154188969 Active

Practice location

6736 Bill Carruth Pkwy Apt 901
Hiram, GA 30141-3794

Call (404) 232-5421 Map

Mailing address

3446 Parsons Greene Ct
Powder Springs, GA 30127-4428

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC014481 (GA)

Professional Counselor: Definition to come...

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About NPI 1154188969

Elisabeth Grace Moon's National Provider Identifier is 1154188969, issued on Feb 28, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hiram, GA. The record was last updated on Feb 28, 2024.