| Doctor Name: | MRS. NORMA PATRICIA MORA |
| NPI Number: | 1063738946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA |
| License Number: | 42V8 |
| Business Practice Address: | 115 Sagamore St Revere, MA - 021512536 |
| Business Phone Number: | 7816086056 |
| Business Fax Number: | |
| Mailing Address: | 115 Sagamore St, REVERE |
| State: | MA |
| Postal Code: | 021512536 |
| Phone Number: | 7816086056 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2010 |
| NPI Last Update Date: | 04/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 42V8 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |