Individual
MRS. TONYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1010 LAKE ST STE 200, OAK PARK, IL 60301-1132
(773) 457-4529
Mailing address
PO BOX 15455, CHICAGO, IL 60615
(773) 457-4529
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001299
IL
106H00000X
Marriage & Family Therapist
35002055A
IN
106H00000X
Marriage & Family Therapist
—
IL
106H00000X
Marriage & Family Therapist
—
IN
Other
Enumeration date
10/23/2015
Last updated
01/02/2025
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