Octavia Jo Walenciak

NPI #1124744172 in Moore, Oklahoma

Provider Information

NPI Number: 1124744172
Entity Type: Individual
Name: Octavia Jo Walenciak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 12, 2022
Last Updated: Aug 13, 2025

Practice Location

Address: 620 NW 5TH ST STE D
City: Moore
State: Oklahoma
ZIP Code: 73160-3947
Phone: (405) 208-4469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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