Individual provider · Type 1 NPI

Lisa Moore

Mental Health Counselor · Boston, MA

NPI number 1366778045 Active

Practice location

85 E Newton St, Best
Boston, MA 02118-2340

Fax (617) 414-1975

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366778045

Lisa Moore's National Provider Identifier is 1366778045, issued on Oct 30, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Oct 30, 2009.