Individual
CARRIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8501 TEXOMA HILLS RD, KINGSTON, OK 73439-5049
(309) 428-0645
Mailing address
8501 TEXOMA HILLS RD, KINGSTON, OK 73439-5049
(309) 428-0645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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