Organization
MOORE COUNSELING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN GANT WARD PH.D. (DIRECTOR)
(405) 735-6333
Entity
Organization
Contact information
Practice address
604 S CLASSEN AVE, STE A, MOORE, OK 73160-5401
(405) 735-6333
(405) 735-6629
Mailing address
604 S CLASSEN AVE, STE A, MOORE, OK 73160-5401
(405) 735-6333
(405) 735-6629
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/29/2006
Last updated
01/14/2008
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