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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PHILLIP MOORE, MA LPC-IT, SAC-IT

Active Sole Proprietor

MR. PHILLIP MOORE, MA LPC-IT, SAC-IT is a Professional Counselor healthcare provider located in MILWAUKEE, Wisconsin. NPI 1891554317 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MILWAUKEE, WI

Registration Details

NPI Number
1891554317
Provider Type
Individual
Gender
Male
NPI Issued
Mar 18, 2024 (2.3956794900746 yrs)
Last Updated
Mar 18, 2024
Licenses
20136-130 (WI)
7610-226 (WI)
Sole Proprietor
Yes

Practice Information

Address
11414 W PARK PL STE 202
MILWAUKEE, WI, 532243500
Browse WI providers · Browse ZIP 53224
Phone
9202046668
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in MILWAUKEE, WI

Name Credential NPI
DR. THOMAS A. GARLAND IV PSY.D. 1699764167
LESLIE L HARRIS SPENCER LPC 1821015272
KAREN DUNST M.S. 1952325391
CAROL JEAN SEYDEWITZ M.S. WATR-BC 1639186166
KATHY LYNN FARRELL LPC 1548277072
MRS. TERESA MARIE GUSE LPC, NBCC 1780696799
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.