Tisha Moon
Tisha Moon is a Mental Health Counselor in Vienna, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2021
Practice location Address checks out
114 Church St NW Ste 205Vienna, VA 22180-4507
Phone: (540) 999-8474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 0701010496 (VA) |
|---|
Record details
| NPI number | 1578137691 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2021 |
| Last updated in NPPES | May 13, 2021 |
| Certification date | October 26, 2020 |
| Mailing address | 11218 Beaver Trail Ct, Reston, VA 20191-4321 |
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