Individual provider · Type 1 NPI
Shavonna L. Moore
Mental Health Counselor · Chickasha, OK
NPI number
1578882288
Active
Practice location
1302 S 1st St, Chickasha
Chickasha, OK 73018-4813
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 1578882288
Shavonna L. Moore's National Provider Identifier is 1578882288, issued on May 19, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chickasha, OK. The record was last updated on May 19, 2010.