Individual
MS. ODETTA MARIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
PO BOX 701111, TULSA, OK 74170-1111
(918) 406-7195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC06275
OK
Other
Enumeration date
10/06/2011
Last updated
04/30/2025
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