Individual provider · Type 1 NPI

Jill Adriane Moody, M.S., LPC

Mental Health Counselor · Dekalb, IL

NPI number 1699179820 Active

Practice location

12 Health Services Dr
Dekalb, IL 60115-9637

Call (815) 756-4875 Map

Mailing address

329 S 4th St Apt 4
Dekalb, IL 60115-3775

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.010378 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1699179820

Jill Adriane Moody, M.S., LPC's National Provider Identifier is 1699179820, issued on Oct 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dekalb, IL. The record was last updated on Oct 17, 2014.