Moon, Jodell Lynn

Moon, Jodell Lynn is an sole proprietor health care provider with primary practice located at 14201 N Kentucky Ave 314, Oklahoma City OK 73134. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moon, Jodell Lynn can be contacted via phone (405) 417-4541.

Contact Information

Primary practice address
14201 N Kentucky Ave 314 Oklahoma City OK 73134
Phone: (405) 417-4541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61095791 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X 6583 Oklahoma

Profile Details

NPI number 1477520716
LBN Legal business name Moon, Jodell Lynn
Credentials M.ED., LPC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Mar 9th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477520716 NPPES
Wyoming MEDICAID 1477250716

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