Individual provider · Type 1 NPI

Heather Renee Moore, MA, LPC

Professional Counselor · Tulsa, OK

NPI number 1649604885 Active

Practice location

550 S Peoria Ave
Tulsa, OK 74120-3820

Fax (918) 382-1285

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X5751 (OK)
Professional Counselor Primary 101YP2500X5751 (OK)

Professional Counselor: Definition to come...

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About NPI 1649604885

Heather Renee Moore, MA, LPC's National Provider Identifier is 1649604885, issued on Aug 23, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tulsa, OK. The record was last updated on May 26, 2020.