| Derek Raymond Moore, CADC | |
|
800 Roosevelt Rd Ste 206, Glen Ellyn, IL 60137-5839 | |
| (630) 423-5935 | |
| Not Available |
| Full Name | Derek Raymond Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 800 Roosevelt Rd Ste 206, Glen Ellyn, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851876031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 34385 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 178017617 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Raymond Moore, CADC 8020 W 87th St, Hickory Hills, IL 60457-1189 Ph: () - | Derek Raymond Moore, CADC 800 Roosevelt Rd Ste 206, Glen Ellyn, IL 60137-5839 Ph: (630) 423-5935 |
Clayton Berg, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Roosevelt Rd Bldg C, Glen Ellyn, IL 60137 Phone: 630-373-2529 | |
Fioralba Eliana Millon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd Ste 200, Glen Ellyn, IL 60137 Phone: 847-612-5752 | |
Michelle J Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Anthony St, Glen Ellyn, IL 60137 Phone: 877-506-2674 | |
Jennifer K Paterakis, M.S L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Main St Ste A, Glen Ellyn, IL 60137 Phone: 630-858-1075 Fax: 630-790-9984 | |
Ms. Carole S. Logalbo, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 493 Forest Ave, Glen Ellyn, IL 60137 Phone: 630-469-1555 | |
Abia Hashmi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Roosevelt Rd Ste 220, Glen Ellyn, IL 60137 Phone: 630-239-1784 Fax: 630-216-4818 | |
Diana Dimeo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Glen Ellyn, IL 60137 Phone: 708-769-1509 |