Individual provider · Type 1 NPI

Hanna Jacquelyn Moore, BS

Mental Health Counselor · Essex, CT

NPI number 1073189742 Active

Practice location

190 Westbrook Rd
Essex, CT 06426-1518

Fax (860) 767-0148

Mailing address

255 Hempstead St
New London, CT 06320-6290

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073189742

Hanna Jacquelyn Moore, BS's National Provider Identifier is 1073189742, issued on Jun 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Essex, CT. The record was last updated on Jun 2, 2021.