Individual
MRS. HSIAO-WEN EUNICE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4911 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6171
(405) 751-0800
Mailing address
107 REMINGTON PL, TAHLEQUAH, OK 74464-4169
(325) 672-8883
(325) 672-8883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC07800
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096063501
—
TX
Enumeration date
08/02/2005
Last updated
04/24/2025
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