Child and Family Therapy LLC

NPI #1588977011 in Edmond, Oklahoma

Provider Information

NPI Number: 1588977011
Entity Type: Organization
Organization Name: Child and Family Therapy LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 26, 2010
Last Updated: Jul 26, 2010

Practice Location

Address: 2500 S BROADWAY
Address 2: BUILDING 1, SUITE 110
City: Edmond
State: Oklahoma
ZIP Code: 73013-4038
Phone: (405) 202-2583

Authorized Official

Name: MS. LOU ANN MOORE, LPC, MED, NCC, NCSC
Title: COUNSELOR
Phone: (405) 202-2583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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