Individual provider · Type 1 NPI

Taylor Ann Mizuno-Moore, LCPC

Counselor · Chicago, IL

NPI number 1497308175 Active

Practice location

67 E Madison St Ste 1603A
Chicago, IL 60603-3095

Mailing address

403 Sherman Ave Apt 3
Evanston, IL 60202-6100

Other practice locations

  • 618 Library Pl, Evanston, IL 60201-2908 · (847) 733-4300

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3 other providers at this address

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About NPI 1497308175

Taylor Ann Mizuno-Moore, LCPC's National Provider Identifier is 1497308175, issued on Jul 22, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 3, 2023.