Individual provider · Type 1 NPI

Tina Moore

Mental Health Counselor · Homewood, IL

NPI number 1487480240 Active

Practice location

935 175th St Ste 300
Homewood, IL 60430-2073

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487480240

Tina Moore's National Provider Identifier is 1487480240, issued on Sep 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Homewood, IL. The record was last updated on Sep 10, 2024.