person
Fretta Vanzant Moore
Mental Health Counselor in Ada, Oklahoma
NPI 1205148384

Fretta Vanzant Moore is a Mental Health Counselor based in Ada, OK and is specialized in Mental Health. Fretta Vanzant Moore practices in Ada, OK. The NPI Number for Fretta Vanzant Moore is 1205148384 and holds a License No. (Oklahoma).

The current practice location address for Fretta Vanzant Moore is 901 W 18Th St, Ada, OK and can be reached out via phone at 580-436-6130 and via fax at 580-436-6135.

Location: 901 W 18Th St, Ada, OK, 74820-7423
person
Provider Profile Details
NPI Number
1205148384
Provider Name
Fretta Vanzant Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
901 W 18Th St, Ada, OK, 74820-7423
Phone Number
580-436-6130
Fax Number
580-436-6135
Provider Enumeration Date
07/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 W 18Th St
City
Ada
State
Zip
74820-7423
Phone Number
580-436-6130
Fax Number
580-436-6135
person
Provider Business Mailing Address Details
Address
901 W 18Th St
City
Ada
State
Zip
74820-7423
Phone Number
580-436-6130
Fax Number
580-436-6135
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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