Individual
KATELYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17939 N PENNSYLVANIA AVE UNIT B, EDMOND, OK 73012-9001
(405) 655-5232
Mailing address
17939 N PENNSYLVANIA AVE UNIT B, EDMOND, OK 73012-9001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12248
OK
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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