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Omar Moreno, LCP
Professional Counselor in Cicero, Illinois
NPI 1982150140

Omar Moreno is a Professional Counselor based in Deerfield, IL and is specialized in Professional. Omar Moreno practices in Cicero, IL and has the professional credentials of LCP. The NPI Number for Omar Moreno is 1982150140 and holds a License No. (Illinois).

The current practice location address for Omar Moreno is 1441 S 61St Ct, Cicero, IL and can be reached out via phone at 224-432-9196.

Location: 1441 S 61St Ct, Cicero, IL, 60015-6009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982150140
Provider Name
Omar Moreno
Credential
LCP
Provider Entity Type
Individual
Gender
Male
Address
1441 S 61St Ct, Cicero, IL, 60015-6009
Phone Number
224-432-9196
Fax Number
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
199960618 05 IL
institution
Provider Business Practice Location Address Details
Address
1441 S 61St Ct
City
Cicero
State
Illinois
Zip
60804-1049
Phone Number
224-432-9196
Fax Number
person
Provider Business Mailing Address Details
Address
1441 S 61St Ct
City
Cicero
State
Illinois
Zip
60804-1049
Phone Number
224-432-9196
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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