Individual
SHALENA OCTAVIA MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 PARK ST SE, ARDMORE, OK 73401-8364
(580) 226-1838
Mailing address
706 CHERRY ST, ARDMORE, OK 73401-1306
(580) 319-1510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11101
OK
101YP2500X
Professional Counselor
Primary
11101
OK
101YP2500X
Professional Counselor
97499
TX
Other
Enumeration date
11/07/2022
Last updated
02/17/2026
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