Jerry Lynn Moore in Choctaw - Mental Health
Jerry Lynn Moore - NPI 1184709073
Jerry Lynn Moore is a Mental Health in Choctaw, Oklahoma. Jerry Lynn Moore practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry Lynn Moore is 1184709073. The last update date is 2007-07-09.
Jerry Lynn Moore's current location address is Po Box 695, Choctaw, Oklahoma. You can contact this provider via phone number 4053908131 and fax number 4053908134. The mailing address for Jerry Lynn Moore is Po Box 695, Choctaw, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lynn Moore |
|---|---|
| Address | Po Box 695, Choctaw, Oklahoma |
| Phone Number | 4053908131 |
| Fax Number | 4053908134 |
| Sole Proprietor | N |
| Credentials | MS UNDER S |
NPI Number Detail
| NPI Number | 1184709073 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 695 |
|---|---|
| City | Choctaw |
| State | Oklahoma (OK) |
| Post Code | 730200695 |
| Phone Number | 4053908131 |
| Fax Number | 4053908134 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jerry Lynn Moore by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Lynn Moore has been assigned the NPI (National Provider Identifier) 1184709073. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jerry Lynn Moore is geographically located?
The Jerry Lynn Moore is physically situated at the following location: Po Box 695, Choctaw, OK, 730200695.
What is Jerry Lynn Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Lynn Moore's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184709073 to Jerry Lynn Moore?
The Centers for Medicare & Medicaid Services assigned the 1184709073 to Jerry Lynn Moore on 2006-10-26.
As of what date were the details pertaining to Jerry Lynn Moore last refreshed?
The information related to the Jerry Lynn Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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