person
Timothy Moore
Professional Counselor in Bolingbrook, Illinois
NPI 1144830605

Timothy Moore is a Professional Counselor based in Bolingbrook, IL and is specialized in Professional. Timothy Moore practices in Bolingbrook, IL. The NPI Number for Timothy Moore is 1144830605 and holds a License No. (Illinois).

The current practice location address for Timothy Moore is 150 Queenswood Rd, Bolingbrook, IL and can be reached out via phone at 773-632-7705.

Location: 150 Queenswood Rd, Bolingbrook, IL, 60440-2578
person
Provider Profile Details
NPI Number
1144830605
Provider Name
Timothy Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
150 Queenswood Rd, Bolingbrook, IL, 60440-2578
Phone Number
773-632-7705
Fax Number
Provider Enumeration Date
08/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Queenswood Rd
City
State
Zip
60440-2578
Phone Number
773-632-7705
Fax Number
person
Provider Business Mailing Address Details
Address
150 Queenswood Rd
City
State
Zip
60440-2578
Phone Number
773-632-7705
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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