Individual
GIAVANNA NICOLE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
415 N 3RD ST, WATSEKA, IL 60970-1307
(708) 843-2589
Mailing address
415 N 3RD ST, WATSEKA, IL 60970-1307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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