Kathy Moore Dyson, LCPC
NPI #1437128006 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1437128006
- Entity Type
- Individual
- Name
- Kathy Moore Dyson, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Mar 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 340 W STATE ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2061
- Phone
- (217) 245-6126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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