Provider Demographics
NPI:1528428810
Name:MORENO, KATHERINE (MS IN COUNSELING)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MORENO
Suffix:
Gender:F
Credentials:MS IN COUNSELING
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:SINGLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 N. HIGHWAY 59 SUITE 1
Mailing Address - Street 2:
Mailing Address - City:KANSAS
Mailing Address - State:OK
Mailing Address - Zip Code:74347
Mailing Address - Country:US
Mailing Address - Phone:918-418-6258
Mailing Address - Fax:
Practice Address - Street 1:207 N. HIGHWAY 59 SUITE 1
Practice Address - Street 2:
Practice Address - City:KANSAS
Practice Address - State:OK
Practice Address - Zip Code:74347
Practice Address - Country:US
Practice Address - Phone:918-418-6258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-29
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health