Timothy Moore, LCPC
NPI 1225356348 · on the registry since 2010
Practice
- Address
- 450 W 14th St
Chicago Heights, IL 60411 - Phone
- (708) 503-9670
- Organisation at this address
- Genoa Healthcare Llc
Grand Prairie Services
Grand Prairie Services
Grand Prairie Services
Grand Prairie ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 74
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois