Individual
MR. JUAN CARLOS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9121 N COUNCIL RD, OKLAHOMA CITY, OK 73132-1300
(405) 408-1216
(405) 470-3428
Mailing address
9121 N COUNCIL RD, OKLAHOMA CITY, OK 73132-1300
(405) 408-1216
(405) 470-3428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
02/07/2013
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