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Dr. Mustafa Moyenda, LCPC,CAADC
Professional Counselor in Chicago, Illinois
NPI 1861640856

Mustafa Moyenda is a Professional Counselor based in South Holland, IL and is specialized in Professional. Mustafa Moyenda practices in Chicago, IL and has the professional credentials of LCPC,CAADC. The NPI Number for Mustafa Moyenda is 1861640856 and holds a License No. 14823 (Illinois).

The current practice location address for Mustafa Moyenda is 9510 S Constance Ave, Chicago, IL and can be reached out via phone at 872-221-0041 and via fax at 866-683-7047.

Location: 9510 S Constance Ave, Chicago, IL, 60473-2258
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Provider Profile Details
NPI Number
1861640856
Provider Name
Mustafa Moyenda
Credential
LCPC,CAADC
Provider Entity Type
Individual
Gender
Male
Address
9510 S Constance Ave, Chicago, IL, 60473-2258
Phone Number
872-221-0041
Fax Number
866-683-7047
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180003124 01 IL LCPC LICENSE
institution
Provider Business Practice Location Address Details
Address
9510 S Constance Ave
City
State
Zip
60617-4700
Phone Number
872-221-0041
Fax Number
866-683-7047
person
Provider Business Mailing Address Details
Address
9510 S Constance Ave
City
State
Zip
60617-4700
Phone Number
872-221-0041
Fax Number
866-683-7047
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180003124 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14823 (Illinois)
Definition
Definition to come...
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