Individual
MRS. LAURA ELIZABETH MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
18 ONECO ST STE 2, NORWICH, CT 06360-3440
(860) 326-4474
Mailing address
22 LYNN DR, LEDYARD, CT 06339-1311
(860) 326-4474
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1971
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBHP010127
—
CT
Enumeration date
09/08/2014
Last updated
08/27/2019
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