Individual provider · Type 1 NPI

Coleen Moore

Professional Counselor · Normal, IL

NPI number 1730824616 Active

Practice location

1606 Hunt Dr
Normal, IL 61761-2192

Call (309) 452-0069 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180004169 (IL)

Professional Counselor: Definition to come...

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About NPI 1730824616

Coleen Moore's National Provider Identifier is 1730824616, issued on May 4, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Normal, IL. The record was last updated on May 4, 2022.