MR. Timothy Howard Moore, L.P.C.

NPI #1144494881 in Decatur, Illinois

Provider Information

NPI Number: 1144494881
Entity Type: Individual
Name: MR. Timothy Howard Moore, L.P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: L.P.C.
Enumeration Date: Apr 14, 2008
Last Updated: Apr 14, 2008

Practice Location

Address: 3040 N UNIVERSITY AVE
Address 2: SUITE 2
City: Decatur
State: Illinois
ZIP Code: 62526-1391
Phone: (217) 872-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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