Derek Raymond Moore, CADC
NPI #1851876031 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1851876031
- Entity Type
- Individual
- Name
- Derek Raymond Moore, CADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- CADC
- Enumeration Date
- Oct 3, 2018
- Last Updated
- Jun 24, 2022
Practice Location
- Address
- 800 ROOSEVELT RD STE 206
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5839
- Phone
- (630) 423-5935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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