Individual provider · Type 1 NPI

Tahereh Marisa Ryland-Neal

Mental Health Counselor · Moore, OK

NPI number 1043874530 Active

Practice location

620 NW 5th St
Moore, OK 73160-3948

Mailing address

624 NW 5th St
Moore, OK 73160-3924

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7110 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1043874530

Tahereh Marisa Ryland-Neal's National Provider Identifier is 1043874530, issued on Apr 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Apr 30, 2019.