Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina Moulton

Individual provider Counselor · NPI 1154697670

Tina Moulton is a Counselor in Waukegan, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3002 Grand Ave
Waukegan, IL 60085-2321
Phone: (847) 377-8088
Fax: (847) 984-5638
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1154697670
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESMarch 29, 2012

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