Melinda Moore

NPI #1932304151 in Antlers, Oklahoma

Provider Information

NPI Number: 1932304151
Entity Type: Individual
Name: Melinda Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 18, 2007
Last Updated: Jun 5, 2012

Practice Location

Address: 107 S HIGH ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-3818
Phone: (580) 298-2830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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