Mr. Phillip Moore, MALPC-IT, SAC-IT
Mr. Phillip Moore, MALPC-IT, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
11414 W Park Pl Ste 202Milwaukee, WI 53224-3500
Phone: (920) 204-6668
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 7610-226 (WI) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 20136-130 (WI) |
Record details
| NPI number | 1891554317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MALPC-IT , SAC-IT |
| Sole proprietor | Yes |
| NPI enumerated | March 18, 2024 |
| Last updated in NPPES | March 18, 2024 |
| Certification date | March 17, 2024 |
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