MR. Kevin Moore

NPI #1982947164 in Stoneham, Massachusetts

Provider Information

NPI Number: 1982947164
Entity Type: Individual
Name: MR. Kevin Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 5, 2013
Last Updated: Apr 5, 2013

Practice Location

Address: 107 HILL ST
Address 2: APT. 9
City: Stoneham
State: Massachusetts
ZIP Code: 02180-3720
Phone: (617) 935-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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