Individual provider · Type 1 NPI
Ladena Carol Moore, LPC NCC
Professional Counselor · Pryor, OK
NPI number
1083945208
Active
Practice location
212 S E 1st
Pryor, OK 74361
Fax (918) 825-6612
Mailing address
PO Box 912
Pryor, OK 74362-0912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3702 (OK) |
Professional Counselor: Definition to come...
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About NPI 1083945208
Ladena Carol Moore, LPC NCC's National Provider Identifier is 1083945208, issued on Jan 28, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pryor, OK. The record was last updated on Jan 28, 2010.