Individual
MARISSA OPAL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3105 E SKELLY DR # 400B, TULSA, OK 74105-6358
(918) 591-3071
(918) 615-2261
Mailing address
3105 E SKELLY DR # 400B, TULSA, OK 74105-6358
(918) 591-3071
(918) 615-2261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
03359
KS
101YP2500X
Professional Counselor
12384
OK
101YP2500X
Professional Counselor
Primary
2017044142
MO
Other
Enumeration date
01/15/2018
Last updated
08/06/2026
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