Moore, Jerry Lynn

Moore, Jerry Lynn is an individual health care provider with primary practice located at 14625 Ne 23Rd St. , Choctaw OK 73020-0695. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Jerry Lynn can be contacted via phone (405) 390-8131.

Contact Information

Primary practice address
14625 Ne 23Rd St. Choctaw OK 73020-0695
Fax: (405) 390-8134
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1184709073
LBN Legal business name Moore, Jerry Lynn
Credentials MS UNDER SUP. LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 19 years 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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