Individual
DEBRA MOORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474R SCHOOL ST, EAST HARTFORD, CT 06108-1149
(860) 730-8811
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2761
CT
101YP2500X
Professional Counselor
MHC00680
RI
Other
Enumeration date
03/23/2011
Last updated
08/27/2021
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