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Tina Moulton
Counselor in Waukegan, Illinois
NPI 1154697670

Tina Moulton is a Counselor based in Waukegan, IL. Tina Moulton practices in Waukegan, IL. The NPI Number for Tina Moulton is 1154697670 and holds a License No. (Illinois).

The current practice location address for Tina Moulton is 3002 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8088 and via fax at 847-984-5638.

Location: 3002 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154697670
Provider Name
Tina Moulton
Credential
Provider Entity Type
Individual
Gender
Female
Address
3002 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8088
Fax Number
847-984-5638
Provider Enumeration Date
03/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3002 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8088
Fax Number
847-984-5638
person
Provider Business Mailing Address Details
Address
3002 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8088
Fax Number
847-984-5638
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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