| Dr Mustafa Moyenda, LCPC, CAADC | |
|
9510 S Constance Ave, C6, Chicago, IL 60617-4700 | |
| (872) 221-0041 | |
| (866) 683-7047 |
| Full Name | Dr Mustafa Moyenda |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 9510 S Constance Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861640856 | NPI | - | NPPES |
| 180003124 | Other | IL | LCPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14823 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180003124 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mustafa Moyenda, LCPC, CAADC 430 E 162nd St # 398, South Holland, IL 60473-2258 Ph: (872) 221-0041 | Dr Mustafa Moyenda, LCPC, CAADC 9510 S Constance Ave, C6, Chicago, IL 60617-4700 Ph: (872) 221-0041 |
Ms. Rachel Leigh Greenspan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W Adams St, Chicago, IL 60607 Phone: 312-318-8105 Fax: 312-666-4656 | |
Herbert T Cobbs, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4740 N Clark St, Chicago, IL 60640 Phone: 773-769-0205 Fax: 773-765-0794 | |
Jessica Lynn Schultz, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Roosevelt Rd, Chicago, IL 60608 Phone: 312-996-7457 | |
Michael N Wilson, Counselor Medicare: Medicare Enrolled Practice Location: 1340 S Damen Ave, Chicago, IL 60608 Phone: 312-738-5926 Fax: 312-666-6978 | |
Mrs. Danielle Brandy Webb, LCSW,CADC Counselor Medicare: Medicare Enrolled Practice Location: 4839 W 47th St, Chicago, IL 60638 Phone: 773-735-2345 Fax: 773-735-4025 | |
Mrs. Camila Salvisberg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Michigan Ave Ste 1042, Chicago, IL 60611 Phone: 872-529-0607 Fax: 844-601-5947 | |
Ms. Andrea Nicole Good, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 N Damen Ave, Chicago, IL 60647 Phone: 773-270-0469 |