| Doctor Name: | KAREN MOATS |
| NPI Number: | 1104048255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 4090 |
| Business Practice Address: | 12005 E 470 Road Claremore, OK - 74017 |
| Business Phone Number: | 9182731841 |
| Business Fax Number: | 9183414245 |
| Mailing Address: | 17599 S Hwy 88, CLAREMORE |
| State: | OK |
| Postal Code: | 740170801 |
| Phone Number: | 9182731841 |
| Fax Number: | 9183414245 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 08/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |