Individual
STEVIE NICOLE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
438 S 71ST EAST AVE, TULSA, OK 74112-1912
(918) 619-7904
Mailing address
438 S 71ST EAST AVE, TULSA, OK 74112-1912
(918) 619-7904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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