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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.