Mood, Jayna L

Mood, Jayna L is an sole proprietor health care provider with primary practice located at 865 Eisenhower Blvd , Johnstown PA 15904-3327. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mood, Jayna L can be contacted via phone (814) 266-8840.

Contact Information

Primary practice address
865 Eisenhower Blvd Johnstown PA 15904-3327
Phone: (814) 266-8840
Fax: (814) 266-4922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Pennsylvania
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1053580407
LBN Legal business name Mood, Jayna L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2008
Last updated Jul 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053580407 NPPES
Pennsylvania MEDICAID 1007708200003

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