Organization
JEFF A. MOODY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALLEN MOODY M.S. (OWNER/CEO)
(405) 620-3508
Entity
Organization
Contact information
Practice address
3501 NW 63RD ST, SUITE 404, OKLAHOMA CITY, OK 73116-2237
(405) 620-3508
Mailing address
3501 NW 63RD ST, SUITE 404, OKLAHOMA CITY, OK 73116-2237
(405) 620-3508
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
902
OK
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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