Individual provider · Type 1 NPI
Tim Moody, LPC NBCC
Professional Counselor · Springfield, IL
NPI number
1740630516
Active
Practice location
840 Kirkwood Dr Apt 8
Springfield, IL 62712-6853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.011258 (IL) |
Professional Counselor: Definition to come...
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About NPI 1740630516
Tim Moody, LPC NBCC's National Provider Identifier is 1740630516, issued on Jun 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Jun 13, 2016.