Individual
MELISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1731 N MARCEY ST STE 520, CHICAGO, IL 60614-7048
(224) 661-1958
Mailing address
40 SKOKIE BLVD STE 200, NORTHBROOK, IL 60062-1615
(224) 661-1958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33141
IL
Other
Enumeration date
01/14/2025
Last updated
01/22/2025
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