Laura Moon is a Counselor based in Oklahoma City, OK. Laura Moon practices in Oklahoma City, OK. The NPI Number for Laura Moon is 1396091880 and holds a License No. (Oklahoma).
The current practice location address for Laura Moon is 7301 Broadway Ext, Oklahoma City, OK and can be reached out via phone at 405-767-1126.
Location: 7301 Broadway Ext, Oklahoma City, OK, 73116-9045
Provider Profile Details
NPI Number
1396091880
Provider Name
Laura Moon
Credential
Provider Entity Type
Individual
Gender
Female
Address
7301 Broadway Ext, Oklahoma City, OK, 73116-9045
Phone Number
405-767-1126
Fax Number
Provider Enumeration Date
08/02/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E082911984 | 05 | OK |
Provider Business Practice Location Address Details
Address
7301 Broadway Ext
City
State
Zip
73116-9045
Phone Number
405-767-1126
Fax Number
Provider Business Mailing Address Details
Address
7301 Broadway Ext
City
State
Zip
73116-9045
Phone Number
405-767-1126
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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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