Omar Moreno, LCP

NPI #1982150140 in Cicero, Illinois

Provider Information

NPI Number: 1982150140
Entity Type: Individual
Name: Omar Moreno, LCP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCP
Enumeration Date: Aug 28, 2016
Last Updated: Aug 28, 2016

Practice Location

Address: 1441 S 61ST CT
City: Cicero
State: Illinois
ZIP Code: 60804-1049
Phone: (224) 432-9196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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