Most Relevant Information
Provider Data
| NPI Number: | 1003395617 |
| Provider Name: | CRYSTAL L MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2018 |
| Last Updated: | 08/14/2018 |
Provider Practice Location
8725 POINT DR
TULSA
OK
741314028
Practice Location Phone/Fax
| Phone: | 9186362830 |
| Fax: |
Provider Mailing Location
8725 POINT DR
TULSA
OK
741314028
Provider Mailing Phone/Fax
| Phone: | 9186362830 |
| Fax: |