Moore, Bobbie June

Moore, Bobbie June is an individual health care provider with primary practice located at 608 Hwy 271 North , Antlers OK 74523. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Moore, Bobbie June can be contacted via phone (580) 298-5062.

Contact Information

Primary practice address
608 Hwy 271 North Antlers OK 74523
Phone: (580) 298-5062
Fax: (580) 298-5072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1336363100
LBN Legal business name Moore, Bobbie June
Credentials BA, PSRS, CMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 2nd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336363100 NPPES
Oklahoma MEDICAID 200111200A

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