Individual
CHARRA MONYAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 FRONT AVE, WEST HAVEN, CT 06516-2836
(203) 781-4600
(203) 781-4624
Mailing address
740 MIX AVE UNIT 403, HAMDEN, CT 06514-2286
(475) 321-6717
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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