Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MUSTAFA MOYENDA, LCPC, CAADC
Active Sole ProprietorDR. MUSTAFA MOYENDA, LCPC, CAADC is a Professional Counselor healthcare provider located in CHICAGO, Illinois. NPI 1861640856 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CHICAGO, IL
Registration Details
- NPI Number
- 1861640856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2008 (17.930685493206 yrs)
- Last Updated
- Oct 19, 2018
- Licenses
-
14823 (IL)180003124 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9510 S CONSTANCE AVEC6CHICAGO, IL, 606174700Browse IL providers · Browse ZIP 60617
- Phone
- 8722210041
- Fax
- 8666837047
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MS. DEBORAH FRY | L.C.P.C. | 1154313294 |
| BEATRIZ ELISABET LEDESMA | ATR LCPC | 1699762872 |
| MR. RAYMOND COLEY | LCPC | 1093796575 |
| AMY LYN ZAJAKOWSKI UHLL | LCPC | 1053394437 |
| MS. KATHLEEN M GRUBER | MA | 1326021718 |
| JOHN D MOORE | LCPC | 1013993328 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.