Individual provider · Type 1 NPI

Octavia Jo Walenciak

Counselor · Moore, OK

NPI number 1124744172 Active

Practice location

620 NW 5th St Ste D
Moore, OK 73160-3947

Call (405) 208-4469 Map

Fax (405) 208-4472

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124744172

Octavia Jo Walenciak's National Provider Identifier is 1124744172, issued on Oct 12, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Moore, OK. The record was last updated on Aug 13, 2025.