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Tamra Mosher-bacon, MS,BHRS,BHCM
Mental Health Counselor in Wagoner, Oklahoma
NPI 1871738757

Tamra Mosher-bacon is a Mental Health Counselor based in Wagoner, OK and is specialized in Mental Health. Tamra Mosher-bacon practices in Wagoner, OK and has the professional credentials of MS,BHRS,BHCM. The NPI Number for Tamra Mosher-bacon is 1871738757 and holds a License No. (Oklahoma).

The current practice location address for Tamra Mosher-bacon is 404 W Cherokee St Ste A, Wagoner, OK and can be reached out via phone at 405-408-8902.

Location: 404 W Cherokee St Ste A, Wagoner, OK, 74477-0183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871738757
Provider Name
Tamra Mosher-bacon
Credential
MS,BHRS,BHCM
Provider Entity Type
Individual
Gender
Female
Address
404 W Cherokee St Ste A, Wagoner, OK, 74477-0183
Phone Number
405-408-8902
Fax Number
Provider Enumeration Date
12/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200389320A 05 OK
institution
Provider Business Practice Location Address Details
Address
404 W Cherokee St Ste A
City
Wagoner
State
Oklahoma
Zip
74467-4627
Phone Number
405-408-8902
Fax Number
person
Provider Business Mailing Address Details
Address
404 W Cherokee St Ste A
City
Wagoner
State
Oklahoma
Zip
74467-4627
Phone Number
405-408-8902
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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