Shantell Divinity Moreno is a mental health counselor in Albuquerque, NM. Shantell Divinity Moreno NPI is 1174011407. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1101 MEDICAL ARTS AVE NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 933-4639
The enumeration date for this NPI number is 4/23/2018 and was last updated on 8/27/2021.