Individual provider · Type 1 NPI
Queen Shanice Moore
Addiction (Substance Use Disorder) Counselor · Fitchburg, MA
NPI number
1780045237
Active
Practice location
8 Summer St
Fitchburg, MA 01420-5717
Mailing address
49 Simonds St Apt 1
Fitchburg, MA 01420-2460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC10001663 (MA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18677 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Fitchburg
- Caitlin Marie O'Leary, BAAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1003584004
- Paula S. Fuentes, BSAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1013675172
- Raven MirandaAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1093287872
- Susan L. MazzolaAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1104067693
- John Patrick Devine, CADCAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1124585377
- Karen BaldygaAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1134372402
- Marilyn A. Ray, LICSWAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1134390669
- Robert MilkmanAddiction (Substance Use Disorder) Counselor Fitchburg, MA NPI 1154099265
About NPI 1780045237
Queen Shanice Moore's National Provider Identifier is 1780045237, issued on Mar 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fitchburg, MA. The record was last updated on Feb 5, 2024.