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Individual
PATRICIA F MOURA
Active
Individual
PATRICIA F MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10001235
MA
101YM0800X
Mental Health Counselor
Primary
9406
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
10/15/2020
Last updated
08/21/2024
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