Organization
COUNSELING ASSOCIATES OF EDMOND, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JAYNE MOORE LPC (OWNER)
(405) 285-4700
Entity
Organization
Contact information
Practice address
1601 MEDICAL CENTER DR, SUITE 7, EDMOND, OK 73034-6359
(405) 285-4700
(405) 285-4767
Mailing address
1601 MEDICAL CENTER DR, SUITE 7, EDMOND, OK 73034-6359
(405) 285-4700
(405) 285-4767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2554
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3394233
AETNA
—
01
—
5577770
VALUE OPTIONS
—
01
—
576339000
MAGELLAN
—
Enumeration date
09/09/2013
Last updated
09/09/2013
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