Mr. Timothy Howard Moore, LPC
Mr. Timothy Howard Moore, LPC is a Mental Health Counselor in Decatur, Illinois. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Illinois.
- Years since qualifying
- 19
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
3040 N University Ave Ste 2Decatur, IL 62526-1391
Phone: (217) 872-1700
Fax: (217) 872-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (IL) |
|---|
Record details
| NPI number | 1144494881 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | April 14, 2008 |
| Mailing address | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Accepts Medicare assignment | Not indicated |
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Carol A Murphy
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Tamela Danielle Pagel
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Sara L Patterson
132 S Water St Ste 604, Decatur, IL 62523-1332 · (217) 423-6199
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Carrie A Ray
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