Individual provider · Type 1 NPI

Kristina J. Moore

Mental Health Counselor · Wheaton, IL

NPI number 1790389898 Active

Practice location

111 N County Farm Rd
Wheaton, IL 60187-3977

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790389898

Kristina J. Moore's National Provider Identifier is 1790389898, issued on Nov 30, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wheaton, IL. The record was last updated on Nov 30, 2020.