Individual
LOU ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MED, NCC, NCSC
Contact information
Practice address
2500 S BROADWAY, BUILDING 1, SUITE 110, EDMOND, OK 73013-4038
(405) 202-2583
Mailing address
1705 GLACIER LN, EDMOND, OK 73003-4662
(405) 202-2583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3207
OK
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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