MR. TIM MOODY, LPC NBCC
Counselor - Professional
Active
Individual
NPI: 1740630516
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 178.011258 (IL) |
Frequently Asked Questions
NPI 1740630516 is the National Provider Identifier for MR. TIM MOODY, LPC NBCC, a Counselor - Professional provider located in Springfield, IL. This NPI was enumerated on June 13, 2016.
MR. TIM MOODY, LPC NBCC practices at 840 KIRKWOOD DR APT 8, Springfield, IL 62712.
Quick Facts
- NPI
- 1740630516
- Type
- Individual
- Enumerated
- Jun 13, 2016
- Last Updated
- Jun 13, 2016
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