person
Kelly Divine
Mental Health Counselor in Heavener, Oklahoma
NPI 1740725381

Kelly Divine is a Mental Health Counselor based in Heavener, OK and is specialized in Mental Health. Kelly Divine practices in Heavener, OK. The NPI Number for Kelly Divine is 1740725381 and holds a License No. (Oklahoma).

The current practice location address for Kelly Divine is 511 E 2Nd St, Heavener, OK and can be reached out via phone at 918-653-7718.

Location: 511 E 2Nd St, Heavener, OK, 74937-0846
person
Provider Profile Details
NPI Number
1740725381
Provider Name
Kelly Divine
Credential
Provider Entity Type
Individual
Gender
Female
Address
511 E 2Nd St, Heavener, OK, 74937-0846
Phone Number
918-653-7718
Fax Number
Provider Enumeration Date
01/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
511 E 2Nd St
City
State
Zip
74937-3419
Phone Number
918-653-7718
Fax Number
person
Provider Business Mailing Address Details
Address
511 E 2Nd St
City
State
Zip
74937-3419
Phone Number
918-653-7718
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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