person
Alec Moreno
Mental Health Counselor in Fort Gibson, Oklahoma
NPI 1568884666

Alec Moreno is a Mental Health Counselor based in Fort Gibson, OK and is specialized in Mental Health. Alec Moreno practices in Fort Gibson, OK. The NPI Number for Alec Moreno is 1568884666 and holds a License No. (Oklahoma).

The current practice location address for Alec Moreno is 908 S Lee St Ste A, Fort Gibson, OK and can be reached out via phone at 918-203-3789 and via fax at 918-203-3116.

Location: 908 S Lee St Ste A, Fort Gibson, OK, 74434-8735
person
Provider Profile Details
NPI Number
1568884666
Provider Name
Alec Moreno
Credential
Provider Entity Type
Individual
Gender
Male
Address
908 S Lee St Ste A, Fort Gibson, OK, 74434-8735
Phone Number
918-203-3789
Fax Number
918-203-3116
Provider Enumeration Date
01/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200540800B 05 OK
institution
Provider Business Practice Location Address Details
Address
908 S Lee St Ste A
City
State
Zip
74434-8735
Phone Number
918-203-3789
Fax Number
918-203-3116
person
Provider Business Mailing Address Details
Address
908 S Lee St Ste A
City
State
Zip
74434-8735
Phone Number
918-203-3789
Fax Number
918-203-3116
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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