Individual provider · Type 1 NPI
Sharon Vanessa Moore, MSHSA
Mental Health Counselor · Alsip, IL
NPI number
1023289394
Active
Practice location
12517 S Quinn Dr
Alsip, IL 60803-1098
Fax (630) 904-5274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180006839 (IL) |
| Professional Counselor | 101YP2500X | 178003560 (IL) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Alsip
About NPI 1023289394
Sharon Vanessa Moore, MSHSA's National Provider Identifier is 1023289394, issued on Mar 14, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Alsip, IL. The record was last updated on Mar 14, 2008.