person
Derek Raymond Moore, CADC
Mental Health Counselor in Glen Ellyn, Illinois
NPI 1851876031

Derek Raymond Moore is a Mental Health Counselor based in Hickory Hills, IL and is specialized in Mental Health. Derek Raymond Moore practices in Glen Ellyn, IL and has the professional credentials of CADC. The NPI Number for Derek Raymond Moore is 1851876031 and holds a License No. 34385 (Illinois).

The current practice location address for Derek Raymond Moore is 800 Roosevelt Rd Ste 206, Glen Ellyn, IL and can be reached out via phone at 630-423-5935.

Location: 800 Roosevelt Rd Ste 206, Glen Ellyn, IL, 60457-1189
person
Provider Profile Details
NPI Number
1851876031
Provider Name
Derek Raymond Moore
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
800 Roosevelt Rd Ste 206, Glen Ellyn, IL, 60457-1189
Phone Number
630-423-5935
Fax Number
Provider Enumeration Date
10/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Roosevelt Rd Ste 206
City
State
Zip
60137-5839
Phone Number
630-423-5935
Fax Number
person
Provider Business Mailing Address Details
Address
800 Roosevelt Rd Ste 206
City
State
Zip
60137-5839
Phone Number
630-423-5935
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178017617 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34385 (Illinois)
Definition
Definition to come...
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