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Individual
SHAWNTRELL MOORE
Active
Individual
SHAWNTRELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
180.014761
IL
Other
Enumeration date
04/15/2015
Last updated
07/03/2026
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