person
Ms. Sharon Vanessa Moore, MSHSA
Professional Counselor in Alsip, Illinois
NPI 1023289394

Sharon Vanessa Moore is a Professional Counselor based in Alsip, IL and is specialized in Professional. Sharon Vanessa Moore practices in Alsip, IL and has the professional credentials of MSHSA. The NPI Number for Sharon Vanessa Moore is 1023289394 and holds a License No. 180006839 (Illinois).

The current practice location address for Sharon Vanessa Moore is 12517 S Quinn Dr, Alsip, IL and can be reached out via phone at 708-824-9812 and via fax at 630-904-5274.

Location: 12517 S Quinn Dr, Alsip, IL, 60803-1098
person
Provider Profile Details
NPI Number
1023289394
Provider Name
Sharon Vanessa Moore
Credential
MSHSA
Provider Entity Type
Individual
Gender
Female
Address
12517 S Quinn Dr, Alsip, IL, 60803-1098
Phone Number
708-824-9812
Fax Number
630-904-5274
Provider Enumeration Date
03/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12517 S Quinn Dr
City
State
Zip
60803-1098
Phone Number
708-824-9812
Fax Number
630-904-5274
person
Provider Business Mailing Address Details
Address
12517 S Quinn Dr
City
State
Zip
60803-1098
Phone Number
708-824-9812
Fax Number
630-904-5274
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178003560 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180006839 (Illinois)
Definition
Definition to come...
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