Individual
MRS. REBECCA DIANE DAVIS HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12032 N PENN AVE, OKLAHOMA CITY, OK 73120-7827
(405) 255-9574
Mailing address
13200 BIG SKY ROAD, EDMOND, OK 73025-7705
(405) 330-4903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1430
OK
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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