Organization
PATRICK'S SYCAMOORE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JAMES MOORE LPC (OWNER)
(405) 816-0343
Entity
Organization
Contact information
Practice address
3908 N PENIEL AVE STE 500, BETHANY, OK 73008-3402
(405) 603-3265
Mailing address
3508 GRIZZLY RIDGE CT, YUKON, OK 73099-3576
(405) 816-0343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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