Individual
MS. DONNA M. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8 UNION ST, CONCORD, NH 03301-4249
(603) 229-0300
(603) 229-4599
Mailing address
PO BOX 363, CONCORD, NH 03302-0363
(603) 229-0300
(603) 229-4599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1408008Y0NH01
ANTHEM
CT
05
—
30010795
—
NH
01
—
4593602
AETNA BEHAVIORAL HEALTH
—
Enumeration date
01/11/2007
Last updated
07/08/2007
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