person
Ms. Misty Ann Divin, LPC
Professional Counselor in Bolivar, Missouri
NPI 1114950482

Misty Ann Divin is a Professional Counselor based in Bolivar, MO and is specialized in Professional. Misty Ann Divin practices in Bolivar, MO and has the professional credentials of LPC. The NPI Number for Misty Ann Divin is 1114950482 and holds a License No. 2003031288 (Missouri).

The current practice location address for Misty Ann Divin is 315 S Main Ave, Bolivar, MO and can be reached out via phone at 417-326-2902 and via fax at 417-326-4555.

Location: 315 S Main Ave, Bolivar, MO, 65613-2052
person
Provider Profile Details
NPI Number
1114950482
Provider Name
Misty Ann Divin
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
315 S Main Ave, Bolivar, MO, 65613-2052
Phone Number
417-326-2902
Fax Number
417-326-4555
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
315 S Main Ave
City
State
Zip
65613-2052
Phone Number
417-326-2902
Fax Number
417-326-4555
person
Provider Business Mailing Address Details
Address
315 S Main Ave
City
State
Zip
65613-2052
Phone Number
417-326-2902
Fax Number
417-326-4555
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2003031288 (Missouri)
Definition
Definition to come...
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