Individual
ANDREA LEIGH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
457 N MAIN ST, SUITE 2-A, DANBURY, CT 06811-4700
(203) 790-9960
Mailing address
15 DEER RUN, CANDLEWOOD ISLE, NEW FAIRFIELD, CT 06812
(203) 746-4997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001131
CT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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