Individual provider · Type 1 NPI
Johnnie May Troutt-Moss
Professional Counselor · Broken Arrow, OK
NPI number
1104096007
Active
Practice location
3207 N 7th Pl
Broken Arrow, OK 74012-8212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1104096007
Johnnie May Troutt-Moss's National Provider Identifier is 1104096007, issued on Mar 6, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 6, 2008.