Individual provider · Type 1 NPI

Sheronda Chantell Moore, MSOT, OTR/L

Mental Health Counselor · Fort Wayne, IN

NPI number 1730544842 Active

Practice location

7136 Gettysburg Pike
Fort Wayne, IN 46804-5680

Call (260) 745-3322 Map

Mailing address

8040 Upland Ct
Indianapolis, IN 46278-9585

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X9065 (NC)
Occupational Therapist 225X00000X3992 (SC)
Mental Health Counselor Primary 101YM0800X88001256A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1730544842

Sheronda Chantell Moore, MSOT, OTR/L's National Provider Identifier is 1730544842, issued on Dec 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 29, 2024.