Individual
JOSEPH WAYNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 S LEWIS AVE STE 102, TULSA, OK 74136-1075
(918) 416-4483
Mailing address
1431 S DARLINGTON AVE, TULSA, OK 74112-6313
(918) 948-2381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
05/03/2023
Last updated
10/17/2025
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