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Individual
CHARRA MONYAE MOORE
Active
Individual
CHARRA MONYAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008068298
—
CT
05
—
008068631
—
CT
05
—
008068669
—
CT
05
—
008068749
—
CT
Enumeration date
05/09/2025
Last updated
07/11/2025
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