Individual
MS. DIANA JANETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2013 CEDAR MEADOW LN, EDMOND, OK 73003-2408
(405) 414-5611
Mailing address
2013 CEDAR MEADOW LN, EDMOND, OK 73003-2408
(405) 414-5611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2147
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03854925
PERSONAL HEALTH INSURANCE
OK
Enumeration date
01/16/2007
Last updated
07/08/2007
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