Moore, Michael

Moore, Michael is an individual health care provider with primary practice located at 1113 Greenwood Ave , Waukegan IL 60085. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Moore, Michael can be contacted via phone (847) 244-4434.

Contact Information

Primary practice address
1113 Greenwood Ave Waukegan IL 60085
Phone: (847) 244-4434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1285007757
LBN Legal business name Moore, Michael
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 2015 - about 11 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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