Individual
MR. MOISES VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1477 W WINNEMAC AVE APT 2, CHICAGO, IL 60640-2816
(312) 515-8410
Mailing address
1477 W WINNEMAC AVE APT 2, CHICAGO, IL 60640-2816
(312) 515-8410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178018718
IL
Other
Enumeration date
04/12/2024
Last updated
05/05/2026
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