Individual
MS. DIEDRA LEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1860 E 15TH ST, TULSA, OK 74104-4611
(918) 949-4430
(918) 949-4431
Mailing address
PO BOX 46558, LITTLE ROCK, AR 72214-6558
(501) 612-2599
(855) 792-5483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
201819196
OK
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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