Individual provider · Type 1 NPI

Linda Moore, QMHP

Mental Health Counselor · Charleston, IL

NPI number 1629567052 Active

Practice location

701 Monroe Ave
Charleston, IL 61920-2036

Call (217) 345-6554 Map

Fax (217) 655-4220

Mailing address

2738 Kimwood Dr
Charleston, IL 61920-4311

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629567052

Linda Moore, QMHP's National Provider Identifier is 1629567052, issued on May 1, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, IL. The record was last updated on May 1, 2018.