Individual provider · Type 1 NPI
Angela Moore, B.S.
Mental Health Counselor · Broken Arrow, OK
NPI number
1417496027
Active
Practice location
905 S 30th St
Broken Arrow, OK 74014-2848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1417496027
Angela Moore, B.S.'s National Provider Identifier is 1417496027, issued on Feb 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Feb 15, 2017.