Individual provider · Type 1 NPI

Debra Moores

Professional Counselor · East Hartford, CT

NPI number 1639478134 Active

Practice location

474R School St
East Hartford, CT 06108-1149

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Other practice locations

  • 7 Vauxhall St, New London, CT 06320-5711 · (860) 442-2797

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XMHC00680 (RI)
Professional Counselor Primary 101YP2500X2761 (CT)

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About NPI 1639478134

Debra Moores's National Provider Identifier is 1639478134, issued on Mar 23, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Hartford, CT. The record was last updated on Aug 27, 2021.