MS. LINDA K MOFFATT LCPC
NPI 1003831413
Counselor - Professional in Alton, IL
Active since July 13, 2006
About Ms. Linda K Moffatt Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LINDA K MOFFATT LCPC (NPI 1003831413) is an individual professional provider in Alton, Illinois, licensed in Illinois (180-001694) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1003831413
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LINDA K MOFFATTCredential: LCPC
Location Address611 W DELMAR AVEAlton, IL 62002-4214
Mailing Address611 W Delmar AveAlton, IL 62002-4214 · (618) 791-8006 · Fax (618) 243-6558
Phone(618) 791-8006
Fax(618) 243-6558
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 6, 2014
✔ NPI 1003831413 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180-001694
611 W DELMAR AVE, Alton, IL 62002
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003831413, enumerated as an "individual" on July 13, 2006.
The provider is located at 611 W DELMAR AVE ALTON, IL 62002 and the phone number is (618) 791-8006.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
