Individual provider · Type 1 NPI

Michelle Ann Moore, LCSW

Mental Health Counselor · Chicago, IL

NPI number 1750173803 Active

Practice location

4621 N Ravenswood Ave
Chicago, IL 60640-4509

Call (734) 780-4611 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149.029195 (IL)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1750173803

Michelle Ann Moore, LCSW's National Provider Identifier is 1750173803, issued on May 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on May 22, 2025.