Individual
REBECCA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7B LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 456-0038
(860) 456-8765
Mailing address
7B LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 456-0038
(860) 456-8765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002283
CT
Other
Enumeration date
06/14/2010
Last updated
11/21/2012
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