Moore, Timothy

Moore, Timothy is an individual health care provider with primary practice located at 450 W 14Th St , Chicago Heights IL 60411-2463. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Moore, Timothy can be contacted via phone (708) 503-9670.

Contact Information

Primary practice address
450 W 14Th St Chicago Heights IL 60411-2463
Phone: (708) 503-9670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180001082 Illinois

Profile Details

NPI number 1225356348
LBN Legal business name Moore, Timothy
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2010
Last updated May 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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