TIM MOODY

SPRINGFIELD, IL
NPI1740630516
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178.011258)
Enumeration Date2016-06-13
Last Update Date2016-06-13
Business Address
Mr. TIM MOODY LPC NBCC
840 KIRKWOOD DR APT 8
SPRINGFIELD, IL 62712-6853
Phone number: 217-520-9877
Mailing Address
Mr. TIM MOODY LPC NBCC
840 KIRKWOOD DR APT 8
SPRINGFIELD, IL 62712-6853
Phone number: 217-520-9877
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