National Provider Identifier

Jonathan Moon, LMSW

Jonathan Moon, LMSW is listed in the NPPES registry with a primary specialty of Counselor in Dansville, NY and a listed phone number of (585) 335-5052.

NPI 1164820957Dansville, NYCounselor

Profile Overview

NPI
1164820957
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
December 11, 2014
Last Updated
December 18, 2014

Practice Location

  • 141 Main St
  • Dansville, NY 14437-1314

Phone: (585) 335-5052

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1164820957
Entity Type
Individual
Last Name
Moon
First Name
Jonathan
Credential
LMSW
Mailing Street Address
141 Main St
Mailing City
Dansville
Mailing State
NY
Mailing ZIP Code
14437-1314
Mailing Country
US
Mailing Phone
(585) 335-5052
Mailing Fax
(585) 335-5061
Practice Street Address
141 Main St
Practice City
Dansville
Practice State
NY
Practice ZIP Code
14437-1314
Practice Country
US
Practice Phone
(585) 335-5052
Practice Fax
(585) 335-5061
Enumeration Date
December 11, 2014
Last Updated
December 18, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)