person
Mr. Tim Moody, LPCNBCC
Professional Counselor in Springfield, Illinois
NPI 1740630516

Tim Moody is a Professional Counselor based in Springfield, IL and is specialized in Professional. Tim Moody practices in Springfield, IL and has the professional credentials of LPCNBCC. The NPI Number for Tim Moody is 1740630516 and holds a License No. 178.011258 (Illinois).

The current practice location address for Tim Moody is 840 Kirkwood Dr Apt 8, Springfield, IL and can be reached out via phone at 217-520-9877.

Location: 840 Kirkwood Dr Apt 8, Springfield, IL, 62712-6853
person
Provider Profile Details
NPI Number
1740630516
Provider Name
Tim Moody
Credential
LPCNBCC
Provider Entity Type
Individual
Gender
Male
Address
840 Kirkwood Dr Apt 8, Springfield, IL, 62712-6853
Phone Number
217-520-9877
Fax Number
Provider Enumeration Date
06/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
840 Kirkwood Dr Apt 8
City
State
Zip
62712-6853
Phone Number
217-520-9877
Fax Number
person
Provider Business Mailing Address Details
Address
840 Kirkwood Dr Apt 8
City
State
Zip
62712-6853
Phone Number
217-520-9877
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.011258 (Illinois)
Definition
Definition to come...
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