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Mrs. Audra Ann Moore
Counselor in Pekin, Illinois
NPI 1134369077

Audra Ann Moore is a Counselor based in Pekin, IL. Audra Ann Moore practices in Pekin, IL. The NPI Number for Audra Ann Moore is 1134369077 and holds a License No. (Illinois).

The current practice location address for Audra Ann Moore is 3248 Vandever Ave, Pekin, IL and can be reached out via phone at 309-347-5579 and via fax at 309-347-4264.

Location: 3248 Vandever Ave, Pekin, IL, 61554-6257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134369077
Provider Name
Audra Ann Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
3248 Vandever Ave, Pekin, IL, 61554-6257
Phone Number
309-347-5579
Fax Number
309-347-4264
Provider Enumeration Date
03/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3248 Vandever Ave
City
Pekin
State
Illinois
Zip
61554-6257
Phone Number
309-347-5579
Fax Number
309-347-4264
person
Provider Business Mailing Address Details
Address
3248 Vandever Ave
City
Pekin
State
Illinois
Zip
61554-6257
Phone Number
309-347-5579
Fax Number
309-347-4264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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