Griscillia Moore, LCPC

NPI #1629394358 in Flossmoor, Illinois

Provider Information

NPI Number: 1629394358
Entity Type: Individual
Name: Griscillia Moore, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCPC
Enumeration Date: Apr 20, 2010
Last Updated: Apr 20, 2010

Practice Location

Address: 19530 KEDZIE AVE
City: Flossmoor
State: Illinois
ZIP Code: 60422-1778
Phone: (708) 799-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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