Individual
MS. LINDA MARSHALL MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC, ICAD
Contact information
Practice address
1000 W WILSHIRE BLVD, SUITE 220, OKLAHOMA CITY, OK 73116-7030
(405) 514-1561
(405) 879-3446
Mailing address
15612 TRADITIONS BLVD, EDMOND, OK 73013-1116
(405) 514-1561
(405) 879-3446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 504
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICADC 3978
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC 425
OK
Other
Enumeration date
12/29/2006
Last updated
07/01/2014
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