Organization
EMBRACING YOUR DIFFERENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENICE GARNER-MOORE LCSW (OWNER/THERAPIST)
(203) 936-9213
Entity
Organization
Contact information
Practice address
410 STATE ST RM 7, NORTH HAVEN, CT 06473-3149
(203) 936-9213
Mailing address
410 STATE ST RM 7, NORTH HAVEN, CT 06473-3149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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