person
Ms. Queenie Mae Moore
Counselor in New Haven, Connecticut
NPI 1669656484

Queenie Mae Moore is a Counselor based in New Haven, CT. Queenie Mae Moore practices in New Haven, CT. The NPI Number for Queenie Mae Moore is 1669656484 and holds a License No. 000755 (Connecticut).

The current practice location address for Queenie Mae Moore is 1415 State St, New Haven, CT and can be reached out via phone at 203-691-1038 and via fax at 203-691-1038.

Location: 1415 State St, New Haven, CT, 06519-2727
person
Provider Profile Details
NPI Number
1669656484
Provider Name
Queenie Mae Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1415 State St, New Haven, CT, 06519-2727
Phone Number
203-691-1038
Fax Number
203-691-1038
Provider Enumeration Date
12/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1415 State St
City
State
Zip
06511-2702
Phone Number
203-691-1038
Fax Number
203-691-1038
person
Provider Business Mailing Address Details
Address
1415 State St
City
State
Zip
06511-2702
Phone Number
203-691-1038
Fax Number
203-691-1038
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
000755 (Connecticut)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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