Individual provider · Type 1 NPI

Kylie Michelle Moak, MASTERS STUDENT

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1407672371 Active

Practice location

1055 S Houston Ave
Tulsa, OK 74127-9043

Call (720) 756-5715 Map

Fax (918) 560-1399

Other practice locations

  • 6448 S Western Ave, Oklahoma City, OK 73139-1717 · (405) 939-5800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407672371

Kylie Michelle Moak, MASTERS STUDENT's National Provider Identifier is 1407672371, issued on Nov 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Sep 9, 2026.