Individual
ELIJAH MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC CANDIDATE
Contact information
Practice address
4845 S SHERIDAN RD STE 509, TULSA, OK 74145-5719
(405) 208-4469
Mailing address
1502 N 81ST ST, BROKEN ARROW, OK 74014-7453
(918) 863-6335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCCANDIDATE12861
OK
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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