Individual provider · Type 1 NPI

Antoinette Nicole Moody

Mental Health Counselor · Lebanon, NH

NPI number 1265799704 Active

Practice location

85 Mechanic St Ste 360
Lebanon, NH 03766-1537

Mailing address

9 Hanover St Ste 2
Lebanon, NH 03766-1312

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265799704

Antoinette Nicole Moody's National Provider Identifier is 1265799704, issued on Apr 23, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lebanon, NH. The record was last updated on Nov 9, 2018.