person
Ms. Dana Lyn Divine, MED
Professional Counselor in Lubbock, Texas
NPI 1578706198

Dana Lyn Divine is a Professional Counselor based in Lubbock, TX and is specialized in Professional. Dana Lyn Divine practices in Lubbock, TX and has the professional credentials of MED. The NPI Number for Dana Lyn Divine is 1578706198 and holds a License No. 17300 (Texas).

The current practice location address for Dana Lyn Divine is 2232 Indiana Ave, Lubbock, TX and can be reached out via phone at 806-793-6160 and via fax at 806-799-0825.

Location: 2232 Indiana Ave, Lubbock, TX, 79410-2139
person
Provider Profile Details
NPI Number
1578706198
Provider Name
Dana Lyn Divine
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
2232 Indiana Ave, Lubbock, TX, 79410-2139
Phone Number
806-793-6160
Fax Number
806-799-0825
Provider Enumeration Date
04/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2232 Indiana Ave
City
State
Zip
79410-2139
Phone Number
806-793-6160
Fax Number
806-799-0825
person
Provider Business Mailing Address Details
Address
2232 Indiana Ave
City
State
Zip
79410-2139
Phone Number
806-793-6160
Fax Number
806-799-0825
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
17300 (Texas)
Definition
Definition to come...
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