Individual
KRISTEN DANIELLE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 422-8852
Mailing address
3821 MATHEW DR, YUKON, OK 73099-3464
(405) 339-3791
(405) 422-8818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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