Individual
EMILY A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(312) 819-7381
Mailing address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(312) 819-7381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.018746
IL
101YM0800X
Mental Health Counselor
C.2103198-TRNE
OH
Other
Enumeration date
06/14/2021
Last updated
01/26/2023
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