Individual
MS. COURTNEY RENEE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED., LMHC
Contact information
Practice address
650 RIDGE RD, LACKAWANNA, NY 14218-1435
(716) 828-9743
(716) 828-9747
Mailing address
650 RIDGE RD, LACKAWANNA, NY 14218-1435
(716) 828-9743
(716) 828-9747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001803
NY
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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