person
Mr. Phillip Moore, MALPC-IT,SAC-IT
Professional Counselor in Milwaukee, Wisconsin
NPI 1891554317

Phillip Moore is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Phillip Moore practices in Milwaukee, WI and has the professional credentials of MALPC-IT,SAC-IT. The NPI Number for Phillip Moore is 1891554317 and holds a License No. 20136-130 (Wisconsin).

The current practice location address for Phillip Moore is 11414 W Park Pl Ste 202, Milwaukee, WI and can be reached out via phone at 920-204-6668. You can also correspond with Phillip Moore through the mailing address at 11414 W PARK PL STE 202, MILWAUKEE, WI - 53224-3500 (mailing address contact number: 920-204-6668).

Location: 11414 W Park Pl Ste 202, Milwaukee, WI, 53224-3500
person
Provider Profile Details
NPI Number
1891554317
Provider Name
Phillip Moore
Credential
MALPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
11414 W Park Pl Ste 202, Milwaukee, WI, 53224-3500
Phone Number
920-204-6668
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
11414 W Park Pl Ste 202
City
State
Zip
53224-3500
Phone Number
920-204-6668
Fax Number
person
Provider Business Mailing Address Details
Address
11414 W Park Pl Ste 202
City
State
Zip
53224-3500
Phone Number
920-204-6668
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7610-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
20136-130 (Wisconsin)
Definition
Definition to come...
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