Individual provider · Type 1 NPI

Michelle Blackmore

Mental Health Counselor · Worcester, MA

NPI number 1609583624 Active

Practice location

72 Jacques Ave
Worcester, MA 01610-2476

Call (508) 860-1045 Map

Mailing address

31 Taft Rd
Sterling, MA 01564-2117

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMHC10005079 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1609583624

Michelle Blackmore's National Provider Identifier is 1609583624, issued on Oct 31, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Oct 3, 2025.