Marjatta Mirjami Moimas, MA, BSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jefferson, MA
NPI 1972170702 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1972170702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 15 Slipper Hill LN
Jefferson, MA 01522-1408 - Phone
- (315) 734-5446
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
15 Slipper Hill LN
Jefferson, MA 01522-1408
Mailing address
15 Slipper Hill LN
Jefferson, MA 01522-1408
Phone (315) 734-5446
Other providers in Jefferson, MA
- KMQ Professional Services LLC
- Kenneth Luswata
- Kaitlyn Magner
- Maureen Nora McGarry
- Molly Erin McKee
- Cynthia J Rand
- Doreen Beth Voellings
- Wachusett Regional School District
- Susan Davis Warren
All providers in Jefferson, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.