Individual provider · Type 1 NPI

Odetta Maria Moore, LPC

Professional Counselor · Tulsa, OK

NPI number 1689958894 Active

Practice location

5310 E 31st St
Tulsa, OK 74135-5018

Fax (918) 560-1399

Mailing address

PO Box 701111
Tulsa, OK 74170-1111

Other practice locations

  • 6655 S Yale Ave, Tulsa, OK 74136-3326 · (918) 491-3700

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC06275 (OK)

Professional Counselor: Definition to come...

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About NPI 1689958894

Odetta Maria Moore, LPC's National Provider Identifier is 1689958894, issued on Oct 6, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tulsa, OK. The record was last updated on Apr 30, 2025.