person
Coleen Moore
Professional Counselor in Normal, Illinois
NPI 1730824616

Coleen Moore is a Professional Counselor based in Normal, IL and is specialized in Professional. Coleen Moore practices in Normal, IL. The NPI Number for Coleen Moore is 1730824616 and holds a License No. 180004169 (Illinois).

The current practice location address for Coleen Moore is 1606 Hunt Dr, Normal, IL and can be reached out via phone at 309-452-0069.

Location: 1606 Hunt Dr, Normal, IL, 61761-2192
person
Provider Profile Details
NPI Number
1730824616
Provider Name
Coleen Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1606 Hunt Dr, Normal, IL, 61761-2192
Phone Number
309-452-0069
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1606 Hunt Dr
City
State
Zip
61761-2192
Phone Number
309-452-0069
Fax Number
person
Provider Business Mailing Address Details
Address
1606 Hunt Dr
City
State
Zip
61761-2192
Phone Number
309-452-0069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180004169 (Illinois)
Definition
Definition to come...
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