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NPI Code Detail

MEDICARE: MRS. KAREN JEAN MOSSHAMMER LPC

MEDICARE: MRS. KAREN JEAN MOSSHAMMER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1132OK

General Provider Information

NPI Number : 1922159672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN JEAN MOSSHAMMER LPC
Provider Business Mailing Address
First Line : 4712 ROSE ROCK DRIVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73111-5405
Country : US
Telephone Number : 405-568-2193
Fax Number : 918-307-1520
Provider Business Practice Location Address
First Line : 5705 NW 132ND STREET
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-4437
Country : US
Telephone Number : 405-568-2193
Fax Number : 918-382-7302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 11/19/2020

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