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Individual

BETH MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT-C

Contact information

Practice address
4851 INTEGRIS PKWY, EDMOND, OK 73034-8864
(405) 216-2500
(405) 216-2591
Mailing address
2408 PALOMINO DR, EDMOND, OK 73034-5934
(405) 426-5778

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12944
OK
106S00000X
Behavior Technician
Primary
RBT-22-234733
OK

Other

Enumeration date
09/26/2022
Last updated
06/17/2026
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