Individual
ELIZABETH ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC-MH
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
PO BOX 30301, MIDWEST CITY, OK 73140-3301
(405) 514-0727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
891
OK
Other
Enumeration date
01/28/2008
Last updated
01/08/2026
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