Individual provider · Type 1 NPI

Mustafa Moyenda, LCPC, CAADC

Professional Counselor · Chicago, IL

NPI number 1861640856 Active

Practice location

9510 S Constance Ave, C6
Chicago, IL 60617-4700

Call (872) 221-0041 Map

Fax (866) 683-7047

Mailing address

430 E 162nd St # 398
South Holland, IL 60473-2258

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X14823 (IL)
Professional Counselor Primary 101YP2500X180003124 (IL)

Professional Counselor: Definition to come...

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About NPI 1861640856

Mustafa Moyenda, LCPC, CAADC's National Provider Identifier is 1861640856, issued on Sep 3, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Oct 19, 2018.