Individual
CHARLOTTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
169 CHESTNUT ST, NUTLEY, NJ 07110-2311
(973) 667-1884
Mailing address
38 NOEL DR, NORTH ARLINGTON, NJ 07031-5310
(201) 708-3360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00611900
NJ
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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