Individual provider · Type 1 NPI

Michael Moore, LPC

Addiction (Substance Use Disorder) Counselor · Waukegan, IL

NPI number 1285007757 Active

Practice location

1113 Greenwood Ave
Waukegan, IL 60085

Call (847) 244-4434 Map

Mailing address

4215 Hickory Hills Dr # P, Apt 111
Waukegan, IL 60087-5318

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285007757

Michael Moore, LPC's National Provider Identifier is 1285007757, issued on Nov 5, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukegan, IL. The record was last updated on Nov 5, 2015.