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NPI Code Detail

MEDICARE: BRIANNA MORELAND LPC

MEDICARE: BRIANNA MORELAND LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.019575IL

General Provider Information

NPI Number : 1841065059
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA MORELAND LPC
Provider Business Mailing Address
First Line : 53 W JACKSON BLVD STE 1615
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 53 W JACKSON BLVD STE 1615
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3722
Country : US
Telephone Number : 312-898-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2023
Last Update Date : 11/17/2023

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Directions to “ BRIANNA MORELAND LPC” Practice Location

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