Individual
MR. MICHAEL JAMES MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
120 GALE ST, AURORA, IL 60506-5084
(630) 897-1003
(630) 897-1042
Mailing address
1506 PEMBROKE LN, WHEATON, IL 60189-7653
(630) 897-1003
(630) 897-1042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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