Individual provider · Type 1 NPI

Phillip Moore, MA LPC-IT, SAC-IT

Professional Counselor · Milwaukee, WI

NPI number 1891554317 Active

Practice location

11414 W Park Pl Ste 202
Milwaukee, WI 53224-3500

Call (920) 204-6668 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X20136-130 (WI)
Professional Counselor Primary 101YP2500X7610-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1891554317

Phillip Moore, MA LPC-IT, SAC-IT's National Provider Identifier is 1891554317, issued on Mar 18, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 18, 2024.