Individual
BRITTANNI KORYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,MA,BA
Contact information
Practice address
3095 MAIN ST, STRATFORD, CT 06614-4847
(475) 208-1359
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2716
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
01
—
PENDING
CAQH
—
05
—
PENDING
—
CT
Enumeration date
10/11/2012
Last updated
08/29/2025
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