Individual provider · Type 1 NPI

Olga V. Moffett, CIDDT

Counselor · Wheatland, WY

NPI number 1629200340 Active

Practice location

688 Antelope Gap Rd
Wheatland, WY 82201-8810

Call (307) 331-7869 Map

Fax (307) 316-0378

Mailing address

14 Plantation Dr
Hattiesburg, MS 39402-6116

Other practice locations

  • 14 Plantation Dr, Hattiesburg, MS 39402-6116 · (601) 705-1901

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X94443 (MS)
Mental Health Counselor 101YM0800XBBH-LCPC-LIC-81088 (MT)

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.

5 other providers at this address

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About NPI 1629200340

Olga V. Moffett, CIDDT's National Provider Identifier is 1629200340, issued on Aug 13, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wheatland, WY. The record was last updated on Sep 8, 2026.