Individual
HEATHER M MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
126 S MAIN ST, PERKINS, OK 74059-3904
(405) 880-5380
Mailing address
12610 S DUSTY LN, PERKINS, OK 74059-3835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
09/16/2014
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