person
Queen Shanice Moore
Addiction (Substance Use Disorder) Counselor in Fitchburg, Massachusetts
NPI 1780045237

Queen Shanice Moore is an Addiction (Substance Use Disorder) Counselor based in Fitchburg, MA and is specialized in Addiction (Substance Use Disorder). Queen Shanice Moore practices in Fitchburg, MA. The NPI Number for Queen Shanice Moore is 1780045237 and holds a License No. LMHC10001663 (Massachusetts).

The current practice location address for Queen Shanice Moore is 8 Summer St, Fitchburg, MA and can be reached out via phone at 774-633-9009.

Location: 8 Summer St, Fitchburg, MA, 01420-2460
person
Provider Profile Details
NPI Number
1780045237
Provider Name
Queen Shanice Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
8 Summer St, Fitchburg, MA, 01420-2460
Phone Number
774-633-9009
Fax Number
Provider Enumeration Date
03/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8 Summer St
City
State
Zip
01420-5717
Phone Number
774-633-9009
Fax Number
person
Provider Business Mailing Address Details
Address
8 Summer St
City
State
Zip
01420-5717
Phone Number
774-633-9009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18677 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMHC10001663 (Massachusetts)
Definition
Definition to come...
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