Individual provider · Type 1 NPI

Siedah Moore

Mental Health Counselor · Boston, MA

NPI number 1013705912 Active

Practice location

1 Westinghouse Plz
Boston, MA 02136-2075

Mailing address

26 Maple St
Rockland, MA 02370-2322

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013705912

Siedah Moore's National Provider Identifier is 1013705912, issued on Apr 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on May 3, 2025.