Omar Moreno, LCP
Counselor, Professional in Cicero, IL. Individual provider (NPI-1).
NPI number1982150140
StatusActive
Last updated in NPPESAug 28, 2016
Details
- NPI
- 1982150140
- Entity type
- Individual (NPI-1)
- Name
- Omar Moreno
- Credential
- LCP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2016
- Last updated
- Aug 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1441 S 61st CtCicero, IL 60804-1049
Phone 224-432-9196
Mailing address
Po Box 1553Deerfield, IL 60015-6009
Phone 224-432-9196
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