Individual
MICAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT CANDIDATE
Contact information
Practice address
114 S 7TH AVE, DURANT, OK 74701-5017
(580) 924-4779
(580) 924-4779
Mailing address
114 S 7TH AVE, DURANT, OK 74701-5017
(580) 924-4779
(580) 924-4779
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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