Individual
NANCY CARMELINA MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
1435 STATE ST, NEW HAVEN, CT 06511-2702
(203) 389-5204
(203) 787-1810
Mailing address
1435 STATE ST, NEW HAVEN, CT 06511-2702
(203) 389-5204
(203) 787-1810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002210
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002210
L.P.C.
CT
Enumeration date
06/22/2012
Last updated
06/22/2012
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