Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANISHA PENN MOORE, LADC
ActiveTANISHA PENN MOORE, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAND SPRINGS, Oklahoma. NPI 1295018034 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAND SPRINGS, OK
Registration Details
- NPI Number
- 1295018034
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2011 (14.840147239215 yrs)
- Last Updated
- Aug 15, 2024
- License
-
917 (OK)
Practice Information
- Address
-
2727 S 137TH WEST AVESAND SPRINGS, OK, 740635017Browse OK providers · Browse ZIP 74063
- Phone
- 9182450231
- Fax
- 9182415031
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAND SPRINGS, OK
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID R PARKER | LPC | 1336342773 |
| MARY MATKIN | LPC, LADC | 1619251360 |
| CHRISTOPHER EARL KELLE | LADC | 1508385543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.