Individual
MRS. JENA PAIGE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127
(918) 921-3200
(918) 560-1399
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 991-6641
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6892
OK
101YP2500X
Professional Counselor
16800
TX
Other
Enumeration date
05/26/2011
Last updated
08/28/2018
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