Individual
MRS. DIANA L KIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CRC NCC
Contact information
Practice address
415 SW 5TH ST, ANTLERS, OK 74523-3612
(580) 579-4752
(580) 498-0020
Mailing address
PO BOX 1000, ANTLERS, OK 74523-1000
(580) 579-4752
(580) 326-8047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3494
OK
101YP2500X
Professional Counselor
Primary
3494
OK
Other
Enumeration date
03/17/2010
Last updated
07/15/2019
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