Individual provider · Type 1 NPI
Crystal Moon, PSYD, LMHC, LCPC
Professional Counselor · Las Vegas, NV
NPI number
1639669278
Active
Practice location
7220 Gates Mill Rd
Las Vegas, NV 89128-3110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC-698 (HI) |
| Professional Counselor Primary | 101YP2500X | CP5214-R (NV) |
Professional Counselor: Definition to come...
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About NPI 1639669278
Crystal Moon, PSYD, LMHC, LCPC's National Provider Identifier is 1639669278, issued on May 17, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 16, 2023.