Individual provider · Type 1 NPI
Jennifer Adele Moore, LCPC
Counselor · Chicago, IL
NPI number
1649084591
Active
Practice location
111 W Jackson Suite 1700
Chicago, IL 60604
Mailing address
502 S Morris Ave Ste D
Bloomington, IL 61701
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.
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About NPI 1649084591
Jennifer Adele Moore, LCPC's National Provider Identifier is 1649084591, issued on Feb 3, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 6, 2025.