MR. PHILLIP MOORE, MA LPC-IT, SAC-IT
Counselor - Professional
Active
Individual
NPI: 1891554317
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 20136-130 (WI) |
| Counselor - Professional | 101YP2500X | Yes | 7610-226 (WI) |
Frequently Asked Questions
NPI 1891554317 is the National Provider Identifier for MR. PHILLIP MOORE, MA LPC-IT, SAC-IT, a Counselor - Professional provider located in Milwaukee, WI. This NPI was enumerated on March 18, 2024.
MR. PHILLIP MOORE, MA LPC-IT, SAC-IT practices at 11414 W PARK PL STE 202, Milwaukee, WI 53224.
Quick Facts
- NPI
- 1891554317
- Type
- Individual
- Enumerated
- Mar 18, 2024
- Last Updated
- Mar 18, 2024
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