Most Relevant Information
Provider Data
| NPI Number: | 1003831413 |
| Provider Name: | LINDA K MOFFATT LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180-001694 |
Most Important Dates
| Enumeration Date: | 07/13/2006 |
| Last Updated: | 01/06/2014 |
Provider Practice Location
611 W DELMAR AVE
ALTON
IL
620024214
Practice Location Phone/Fax
| Phone: | 6187918006 |
| Fax: | 6182436558 |
Provider Mailing Location
611 W DELMAR AVE
ALTON
IL
620024214
Provider Mailing Phone/Fax
| Phone: | 6187918006 |
| Fax: | 6182436558 |