| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAYTLIN DAE-JOYCE MOORE | 1487132221 | 2022-06-26 |
Kaytlin Dae-joyce Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487132221. Registration indicates Kaytlin Dae-joyce Moore is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Kaytlin Dae-joyce Moore LPC |
| Practice Office Address | 26180 OUTER DR LINCOLN PARK, MI US |
| Practice Office Telephone | 3133897500 |
| Mailing Address | 26180 OUTER DR LINCOLN PARK, MI 481462084 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5710 N Broadway St | Chicago, IL 606604302 | 8722350618 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | 178013620
IL |
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | 6451022094
MI |