Summer Moon, LPC

NPI #1144182650 in Lagrange, Georgia

Provider Information

NPI Number
1144182650
Entity Type
Individual
Name
Summer Moon, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LPC
Enumeration Date
Dec 2, 2025
Last Updated
Dec 2, 2025

Practice Location

Address
401 RIDLEY AVE
State
Georgia
ZIP Code
30240-2267
Phone
(706) 756-1970

Specialties & Taxonomy Codes

Specialty
Counselor

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