Moon, Gregory A

Moon, Gregory A is an sole proprietor health care provider with primary practice located at 19701 W Catawba Ave Suite F, Cornelius NC 28031-4080. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Moon, Gregory A can be contacted via phone (704) 989-1031.

Contact Information

Primary practice address
19701 W Catawba Ave Suite F Cornelius NC 28031-4080
Phone: (704) 989-1031
Fax: (704) 896-7819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3337 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8466 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 8466 North Carolina

Profile Details

NPI number 1871859603
LBN Legal business name Moon, Gregory A
Credentials MA, NCC, LCAS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2012
Last updated Oct 16th, 2015 - about 11 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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