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NPI Profile for BOBBIE J MOORE in ANTLERS, OK.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1336363100 |
|
| Status | Active | |
| Credentials | BA, PSRS, CMD | |
| Entity | Individual | |
| Enumeration date | 04/12/2007 | |
| Last updated | 07/02/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BOBBIE J MOORE
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BOBBIE J MOORE, BA, PSRS, CMD