Timothy Moore
Timothy Moore is a Professional Counselor in Bolingbrook, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
150 Queenswood RdBolingbrook, IL 60440-2578
Phone: (773) 632-7705
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1144830605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 8, 2020 |
| Last updated in NPPES | August 8, 2020 |
| Certification date | August 8, 2020 |
| Mailing address | 150 Queenswood Rd, Bolingbrook, IL 60440-2578 |
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