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Brandy Moore
Counselor in Carbondale, Illinois
NPI 1427667161

Brandy Moore is a Counselor based in West Frankfort, IL. Brandy Moore practices in Carbondale, IL. The NPI Number for Brandy Moore is 1427667161 and holds a License No. (Illinois).

The current practice location address for Brandy Moore is 200 N Emerald Ln, Carbondale, IL and can be reached out via phone at 618-457-6703. You can also correspond with Brandy Moore through the mailing address at 902 W MAIN ST, WEST FRANKFORT, IL - 62896-2210 (mailing address contact number: 618-937-6483).

Location: 200 N Emerald Ln, Carbondale, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427667161
Provider Name
Brandy Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 N Emerald Ln, Carbondale, IL, 62896-2210
Phone Number
618-457-6703
Fax Number
Provider Enumeration Date
07/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL2970 05 IL
institution
Provider Business Practice Location Address Details
Address
200 N Emerald Ln
City
Carbondale
State
Illinois
Zip
62901-2159
Phone Number
618-457-6703
Fax Number
person
Provider Business Mailing Address Details
Address
200 N Emerald Ln
City
Carbondale
State
Illinois
Zip
62901-2159
Phone Number
618-457-6703
Fax Number
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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