Individual provider · Type 1 NPI
Timothy Moore
Professional Counselor · Bolingbrook, IL
NPI number
1144830605
Active
Practice location
150 Queenswood Rd
Bolingbrook, IL 60440-2578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1144830605
Timothy Moore's National Provider Identifier is 1144830605, issued on Aug 8, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bolingbrook, IL. The record was last updated on Aug 8, 2020.