Individual
AKELAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4607 N SHERIDAN RD APT 701, CHICAGO, IL 60640-6562
(856) 412-1211
Mailing address
915 W CARMEN AVE APT 501, CHICAGO, IL 60640-3242
(856) 412-1211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.017264
IL
101YP2500X
Professional Counselor
Primary
180.05032
IL
Other
Enumeration date
03/22/2022
Last updated
03/14/2023
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