Individual provider · Type 1 NPI

Sando Moore

Counselor · Pawtucket, RI

NPI number 1215316005 Active

Practice location

160 Beechwood Ave
Pawtucket, RI 02860-5402

Call (401) 724-8400 Map

Fax (401) 722-5280

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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's degree and clinical experience and supervision for licensure or certification.

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About NPI 1215316005

Sando Moore's National Provider Identifier is 1215316005, issued on May 26, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pawtucket, RI. The record was last updated on May 26, 2015.