Individual provider · Type 1 NPI
Phaedra Moore
Addiction (Substance Use Disorder) Counselor · Boston, MA
NPI number
1831970011
Active
Practice location
725 Albany St
Boston, MA 02118-3549
Mailing address
48 Crescent Street, First Floor
Wakefield, MA 01880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831970011
Phaedra Moore's National Provider Identifier is 1831970011, issued on Oct 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Oct 12, 2023.