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Samantha Darlene Moore
Counselor in Kingston, Oklahoma
NPI 1215281407

Samantha Darlene Moore is a Counselor based in Kingston, OK. Samantha Darlene Moore practices in Kingston, OK. The NPI Number for Samantha Darlene Moore is 1215281407 and holds a License No. (Oklahoma).

The current practice location address for Samantha Darlene Moore is 4334 Back St, Kingston, OK and can be reached out via phone at 580-565-0371.

Location: 4334 Back St, Kingston, OK, 73439-5350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215281407
Provider Name
Samantha Darlene Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
4334 Back St, Kingston, OK, 73439-5350
Phone Number
580-565-0371
Fax Number
Provider Enumeration Date
11/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4334 Back St
City
Kingston
State
Oklahoma
Zip
73439-5350
Phone Number
580-565-0371
Fax Number
person
Provider Business Mailing Address Details
Address
4334 Back St
City
Kingston
State
Oklahoma
Zip
73439-5350
Phone Number
580-565-0371
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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.
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