Individual
MISS CARLY CATHERINE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
2452 U.S. ROUTE 9, SUITE 206, MALTA, NY 12020
(518) 292-5433
Mailing address
26 VICHY DR, SARATOGA SPRINGS, NY 12866-9030
(518) 290-4803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P118604
NY
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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