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Mr. Timothy Howard Moore, LPC
Counselor in Decatur, Illinois
NPI 1144494881

Timothy Howard Moore is a Counselor based in Decatur, IL. Timothy Howard Moore practices in Decatur, IL and has the professional credentials of LPC. The NPI Number for Timothy Howard Moore is 1144494881 and holds a License No. (Illinois).

The current practice location address for Timothy Howard Moore is 3040 N University Ave, Decatur, IL and can be reached out via phone at 217-872-1700 and via fax at 217-872-1366.

Location: 3040 N University Ave, Decatur, IL, 62526-1391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144494881
Provider Name
Timothy Howard Moore
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3040 N University Ave, Decatur, IL, 62526-1391
Phone Number
217-872-1700
Fax Number
217-872-1366
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3040 N University Ave
City
Decatur
State
Illinois
Zip
62526-1391
Phone Number
217-872-1700
Fax Number
217-872-1366
person
Provider Business Mailing Address Details
Address
3040 N University Ave
City
Decatur
State
Illinois
Zip
62526-1391
Phone Number
217-872-1700
Fax Number
217-872-1366
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Illinois)
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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