Doctor Name: | DUSTIN W MORICI |
NPI Number: | 1407153950 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 178.009910 |
Business Practice Address: | 25 E Washington St Suite 1202 Chicago, IL - 606021708 |
Business Phone Number: | 3125690285 |
Business Fax Number: | |
Mailing Address: | 25 E Washington St, Suite 1202 CHICAGO |
State: | IL |
Postal Code: | 606021708 |
Phone Number: | 3125690285 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2011 |
NPI Last Update Date: | 06/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 178.009910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |