Individual provider · Type 1 NPI

Jade R. Bryant-Moore, LPC

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1104764232 Active

Practice location

333 N Michigan Ave Ste 1400
Chicago, IL 60601-4011

Call (312) 815-9660 Map

Mailing address

329 N Genesee St
Waukegan, IL 60085-4205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104764232

Jade R. Bryant-Moore, LPC's National Provider Identifier is 1104764232, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 27, 2026.