Individual
ALAN MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 MANCHESTER CIR, GRAYSLAKE, IL 60030-3346
(630) 947-5541
Mailing address
1041 MANCHESTER CIR, GRAYSLAKE, IL 60030-3346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004170
IL
2255A2300X
Athletic Trainer
180004170
IL
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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