Doctor Name: | SENA MORAN |
NPI Number: | 1043683790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C., C.R.C. |
License Number: | MH 13067 |
Business Practice Address: | 4216 Leo Ln Apt 3e Riviera Beach, FL - 334107501 |
Business Phone Number: | 5618012856 |
Business Fax Number: | |
Mailing Address: | 4216 Leo Ln Apt 3e, RIVIERA BEACH |
State: | FL |
Postal Code: | 334107501 |
Phone Number: | 5618012856 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2015 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 13067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |