Individual provider · Type 1 NPI
Omar Moreno, LCP
Professional Counselor · Cicero, IL
NPI number
1982150140
Active
Practice location
1441 S 61st Ct
Cicero, IL 60804-1049
Mailing address
PO Box 1553
Deerfield, IL 60015-6009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1982150140
Omar Moreno, LCP's National Provider Identifier is 1982150140, issued on Aug 28, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cicero, IL. The record was last updated on Aug 28, 2016.