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Elisabeth Grace Moon
Professional Counselor in Hiram, Georgia
NPI 1154188969

Elisabeth Grace Moon is a Professional Counselor based in Powder Springs, GA and is specialized in Professional. Elisabeth Grace Moon practices in Hiram, GA. The NPI Number for Elisabeth Grace Moon is 1154188969 and holds a License No. LPC014481 (Georgia).

The current practice location address for Elisabeth Grace Moon is 6736 Bill Carruth Pkwy Apt 901, Hiram, GA and can be reached out via phone at 404-232-5421.

Location: 6736 Bill Carruth Pkwy Apt 901, Hiram, GA, 30127-4428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154188969
Provider Name
Elisabeth Grace Moon
Credential
Provider Entity Type
Individual
Gender
Female
Address
6736 Bill Carruth Pkwy Apt 901, Hiram, GA, 30127-4428
Phone Number
404-232-5421
Fax Number
Provider Enumeration Date
02/28/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6736 Bill Carruth Pkwy Apt 901
City
Hiram
State
Georgia
Zip
30141-3794
Phone Number
404-232-5421
Fax Number
person
Provider Business Mailing Address Details
Address
6736 Bill Carruth Pkwy Apt 901
City
Hiram
State
Georgia
Zip
30141-3794
Phone Number
404-232-5421
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC014481 (Georgia)
Definition
Definition to come...
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