Individual
HELEN L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
408 E WILL ROGERS BLVD, CLAREMORE, OK 74017-7455
(918) 283-1423
Mailing address
408 E WILL ROGERS BLVD, CLAREMORE, OK 74017-7455
(918) 283-1423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
558
OK
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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