IndividualActive
Kennon Moon
NPI 1003651415 · Counselor · Chicago, IL
Kennon Moon is a Counselor provider in Chicago, IL (NPI 1003651415).
Provider details
- NPI number
- 1003651415
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395
Phone: (773) 697-8839
Street-level locationGet directions
Mailing address
321 S Sangamon St Unit 401
Chicago, IL 60607-3623
Registry dates
- Enumerated
- 2024-06-27
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.