person
Ivonne Moore III, BA
Mental Health Counselor in Worcester, Massachusetts
NPI 1619265832

Ivonne Moore III is a Mental Health Counselor based in Worcester, MA and is specialized in Mental Health. Ivonne Moore III practices in Worcester, MA and has the professional credentials of BA. The NPI Number for Ivonne Moore III is 1619265832 and holds a License No. (Massachusetts).

The current practice location address for Ivonne Moore III is 484 Main St, Worcester, MA and can be reached out via phone at 508-752-2590 and via fax at 508-753-5051.

Location: 484 Main St, Worcester, MA, 01609-1937
person
Provider Profile Details
NPI Number
1619265832
Provider Name
Ivonne Moore III
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
484 Main St, Worcester, MA, 01609-1937
Phone Number
508-752-2590
Fax Number
508-753-5051
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1308785 05 MA
22220002001 01 MA BLUE CROSS
1306461 05 MA
M18684 01 MA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
484 Main St
City
State
Zip
01608-1893
Phone Number
508-752-2590
Fax Number
508-753-5051
person
Provider Business Mailing Address Details
Address
484 Main St
City
State
Zip
01608-1893
Phone Number
508-752-2590
Fax Number
508-753-5051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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