Jennifer Adele Moore, LCPC
Counselor in Chicago, IL. Individual provider (NPI-1).
NPI number1649084591
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1649084591
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Adele Moore
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
111 W Jackson Suite 1700Chicago, IL 60604
Phone 224-558-6768
Mailing address
502 S Morris Ave Ste DBloomington, IL 61701
Phone 224-558-6768
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