Doctor Name: | MS. RONDA LYNN MOSS |
NPI Number: | 1033304209 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED,, LADC |
License Number: | |
Business Practice Address: | 7905 E Us Highway 66 El Reno, OK - 730369225 |
Business Phone Number: | 4052620202 |
Business Fax Number: | |
Mailing Address: | 7905 E Us Highway 66, EL RENO |
State: | OK |
Postal Code: | 730369225 |
Phone Number: | 4052620202 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |