Organization
CDM COUNSELING & CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE MOORER NCC, LPC (OWNER)
(860) 329-7672
Entity
Organization
Contact information
Practice address
246 WOLCOTT RD STE 3, WOLCOTT, CT 06716-2641
(860) 329-7672
Mailing address
51 N MAIN ST, SUITE 3K, SOUTHINGTON, CT 06489
(860) 329-7672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008076655
—
CT
Enumeration date
05/08/2019
Last updated
05/08/2019
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