person
Jodell Lynn Moon, MED,LPC
Mental Health Counselor in Chandler, Oklahoma
NPI 1477520716

Jodell Lynn Moon is a Mental Health Counselor based in Chandler, OK and is specialized in Mental Health. Jodell Lynn Moon practices in Chandler, OK and has the professional credentials of MED,LPC. The NPI Number for Jodell Lynn Moon is 1477520716 and holds a License No. 1424 (Oklahoma).

The current practice location address for Jodell Lynn Moon is 112 Mckinley Street, Chandler, OK and can be reached out via phone at 405-240-5800 and via fax at 405-240-5008.

Location: 112 Mckinley Street, Chandler, OK, 74834
person
Provider Profile Details
NPI Number
1477520716
Provider Name
Jodell Lynn Moon
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
112 Mckinley Street, Chandler, OK, 74834
Phone Number
405-240-5800
Fax Number
405-240-5008
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477250716 05 WY
institution
Provider Business Practice Location Address Details
Address
112 Mckinley Street
City
State
Zip
74834
Phone Number
405-240-5800
Fax Number
405-240-5008
person
Provider Business Mailing Address Details
Address
112 Mckinley Street
City
State
Zip
74834
Phone Number
405-240-5800
Fax Number
405-240-5008
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6583 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1424 (Wyoming)
Definition
Definition to come...
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