Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antwon Demetrius Moore

Individual provider Professional Counselor · NPI 1417212333

Antwon Demetrius Moore is a Professional Counselor in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012

Practice location Address checks out

500 N Meridian Ave
Oklahoma City, OK 73107-5700
Phone: (405) 601-1716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence J082366771 (OK)

Record details

NPI number1417212333
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESJuly 6, 2012

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