Individual provider · Type 1 NPI

Mary Ellen Moreno, BA

Mental Health Counselor · Jacksonville, FL

NPI number 1811248008 Active

Practice location

6266 Dupont Station Ct E
Jacksonville, FL 32217-2567

Call (904) 745-0067 Map

Fax (904) 745-1030

Other practice locations

  • 259 Bill France Blvd, Daytona Beach, FL 32114-1316 · (386) 868-1992

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101YM0800X (FL)
Case Manager/Care Coordinator 171M00000XM650540586680 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1811248008

Mary Ellen Moreno, BA's National Provider Identifier is 1811248008, issued on Sep 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 2, 2022.