Individual
CHESTINA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9121 N COUNCIL RD, OKLAHOMA CITY, OK 73132-1300
(405) 470-3422
(405) 470-3428
Mailing address
9121 N COUNCIL RD, OKLAHOMA CITY, OK 73132-1300
(405) 470-3422
(405) 470-3428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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