Provider Demographics
NPI:1164195467
Name:MORNEAU, CELINE GENEVIEVE MARIE
Entity Type:Individual
Prefix:MS
First Name:CELINE
Middle Name:GENEVIEVE MARIE
Last Name:MORNEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CYPRESS ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2615
Mailing Address - Country:US
Mailing Address - Phone:339-440-2211
Mailing Address - Fax:
Practice Address - Street 1:2 CYPRESS ST APT 2
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-2615
Practice Address - Country:US
Practice Address - Phone:339-440-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health