Alec Moreno
NPI #1568884666 in Fort Gibson, Oklahoma
Provider Information
- NPI Number
- 1568884666
- Entity Type
- Individual
- Name
- Alec Moreno
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 9, 2014
- Last Updated
- Aug 27, 2019
Practice Location
- Address
- 908 S LEE ST STE A
- City
- Fort Gibson
- State
- Oklahoma
- ZIP Code
- 74434-8735
- Phone
- (918) 203-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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